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cardiology differential ecg ekg electrocardiogram management criteria lbbb sgarbossa causes checklist clinical elbow equivalents fracture ischemia msk orthopedics radiology stelevation
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... Equivalents / Don't Miss Signs ... have no pain - LAD ... avR - proximal LAD ... Ischemia #ECG #EKG #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... V2 • Wellens sign ... pain • Wellens sign ... Sgarbossa criterion 3 (modified ... Equivalents #ECG #EKG #diagnosis
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
Differential Diagnosis for ST Segment Elevations - ACUTE STEMI - PULMONARY EMBOLISM - LBBB
Differential Diagnosis ... for ST Segment ... Elevations - ACUTE STEMI ... ) - BRUGADA SIGN ... SPIKED HELMET SIGN
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Modified Sgarbossa ... Criteria - Diagnostic ... Checklist for diagnosing ... Discordance" = ST ... Criteria - Suspect STEMI
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... STE: "Pardee's sign ... (Eiffel Tower sign ... #STEMI #Segment
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa ... Criteria for diagnosing ... STEMI in the presence ... ≥ 1mm (in any lead ... STE > 0.25 S #Diagnosis
What is the new modified Sgarbossa Criteria? - Concordant ST-segment elevation ≥ 1 mm in any lead -
What is the new modified ... - Concordant ST-segment ... ≥ 1 mm in any lead ... V3 - Discordant ST ... Ratio ≤ -0.25 #Diagnosis
Modified Sgarbossa Positive ECG Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... complex 10 in lead ... V6 has ST elevation ... Positive #ECG #Modified
Supracondylar Elbow Fracture • Most common elbow fracture in children, peak age 5-7 • When looking at
anterior sail sign ... posterior fat pad ... can't make A-OK sign ... Type l, DC with ortho ... Radiology #XRay #Diagnosis
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