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cardiology differential ecg ekg electrocardiogram management criteria checklist ischemia sgarbossa stelevation causes clinical elbow equivalents fracture modified msk occlusion orthopedics
LAD IWMI LAHB RAD [PHB RVH Lateral wall infarct Lead reversal Dextrocardia Wide ORS RBBB - terminal delay [BBB IVED WPW = delta wave Hyperkalemia Type l antiarrhythmic drugs Pacemaker ST elevation Early repolarization
LAD IWMI LAHB ... drugs Pacemaker ST ... Elevation AcutE STEMI ... Nonconducted APC #LAD ... #LBBB #IVED #WPW
Differential Diagnosis for ST Segment Elevations - ACUTE STEMI - PULMONARY EMBOLISM - LBBB
Differential Diagnosis ... for ST Segment ... Elevations - ACUTE STEMI ... EMBOLISM - LBBB ... ) - BRUGADA SIGN
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... have no pain - LAD ... avR - proximal LAD ... in V1, unless LBBB ... Ischemia #ECG #EKG #diagnosis
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
with 100% Acute LAD ... Remember that RBBB ... normally has ST ... STEMI Criteria misses ... @EM_RESUS #LAD
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Sgarbossa Criteria - Diagnostic ... Checklist for diagnosing ... Discordance" = ST ... Criteria - Suspect STEMI ... > 1 mm in any lead
What are the original Sgarbossa Criteria? - Concordant ST-segment elevation ≥ 1 mm in any lead =
- Concordant ST-segment ... points - Concordant ST-segment ... points - Discordant ST-segment ... = 2 points #Diagnosis ... Sgarbossa #Criteria #LBBB
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... Electrocardiogram #Diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... V2 • Wellens sign ... pain • Wellens sign ... Equivalents #ECG #EKG #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... STE: "Pardee's sign ... morphology similar to LBBB ... #STEMI #Segment
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Sgarbossa Criteria for diagnosing ... STEMI in the presence ... of a LBBB If there ... ≥ 1mm (in any lead ... STE > 0.25 S #Diagnosis
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