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cardiology diagnosis ecg ekg twaves stemi clinical equivalents syncope bradyarrhythmia bradycardia checklist criteria dewinters echocardiogram elevation emergency interpretation ischemia leadavr
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
De Winter T Wave ... 1) Upsloping ST ... elevation in aVR ... precordial leads #DeWinter ... TWaves #ECG #EKG #Electrocardiogram
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
De Winter T-Waves ... STEMI - look for ST ... elevation in aVR ... Team @FOAMfrat #DeWinter ... TWaves #EKG #ECG #Electrocardiogram
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
ST elevation in ... • Multilead ST ... elevation: Differential ... #electrocardiogram ... diagnosis #ekg #differential
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... (0.5mm-1mm) in aVR ... or follow the deWinter ... pattern #DeWinter ... EKG #Clinical #Electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
bigger than QRS - deWinter ... leads with STE in avR ... inversion - STE avR ... EKG #diagnosis #electrocardiogram ... Interpretation #differential
Approach to ECGs - VT vs. SVT - Wide Tachycardias DDx = VT vs. SVT with BBB All
SVT with BBB All ... is positive in aVR ... (> 160ms) - AV ... #Comparison #VentricularTachycardia ... cardiology #diagnosis #electrocardiogram
De Winter's T Waves Concerning for proximal LAD occlusion (Present in 2% of patients) • Upsloping ST-Depression
• Upsloping ST-Depression ... • STE in lead aVR ... ± aVL #DeWinters ... diagnosis #cardiology #electrocardiogram
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... elevation in aVR ... of the leads l, aVL ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Elevation - Differential ... depression in aVR ... depression in aVR ... Segment #Elevation #differential ... cardiology #ecg #ekg #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias Tachyarrhythmias - HR > 100 Wide (1) VT - DANGER (2)
w/ BBB (3) SVT ... rhythms (5) AV ... block (lower AV ... EKG #diagnosis #electrocardiogram ... #cardiology #differential
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