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cardiology ekg diagnosis ecg clinical tachycardia dewinter stemi arrhythmia digitalis digoxin embolism equivalents interpretation irregular narrow pulmonary sinus svt syncope
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
1) Upsloping ST ... elevation in aVR ... (>= 1 mm) 2) ST ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
STEMI - look for ST ... elevation in aVR ... - Upsloping ST ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #Electrocardiogram
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
elevation: Differential ... overdose: Prominent R wave ... prominent terminal R wave ... #electrocardiogram ... diagnosis #ekg #differential
Progression of EKG changes in Acute Coronary Syndrome (ACS) Hyperacute T waves: • Broad-based and symmetrical, usually
with a depressed ST ... normally inverted in aVR ... In leads l, I, aVL ... , aVF, or V4-V6 ... Progression #diagnosis #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
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 ... #TWaves #EKG #ECG ... diagnosis #cardiology #electrocardiogram
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
in aVR Poor R wave ... progression ST ... all leads except aVR ... between QRS and ST ... Interpretation #ECG #Electrocardiogram
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
symmetrical T-waves ... elevation in aVR ... of the leads l, aVL ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
Approach to ECGs - VT vs. SVT - Wide Tachycardias DDx = VT vs. SVT with BBB All
is positive in aVR ... nadir of the S-wave ... nadir of the S-wave ... #Comparison #VentricularTachycardia ... cardiology #diagnosis #electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
leads with STE in avR ... inversion - STE avR ... inversion in avL ... EKG #diagnosis #electrocardiogram ... Interpretation #differential
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