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cardiology ecg ekg electrocardiogram differential lbbb sgarbossa equivalents checklist clinical dewinter elevation interpretation ischemia modifiedsgarbossa positive rebelem segment stelevation stsratio
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... 1) Upsloping ST ... Electrocardiogram #Diagnosis ... #Cardiology #Criteria
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Modified Sgarbossa ... Criteria - Diagnostic ... Discordance" = ST ... - Suspect STEMI ... #Modified #Diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... • Sgarbossa criterion ... 3 (modified) - ... Equivalents #ECG #EKG #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
0.5mm downgoing ST ... Equivalents / Don't Miss Signs ... have no pain - LAD ... avR - proximal LAD ... Ischemia #ECG #EKG #diagnosis
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 ... #Criteria #LBBB
What is the new modified Sgarbossa Criteria? - Concordant ST-segment elevation ≥ 1 mm in any lead -
What is the new modified ... Sgarbossa Criteria ... ≥ 1 mm in any lead ... Ratio ≤ -0.25 #Diagnosis ... ModifiedSgarbossa #Criteria
Modified Sgarbossa Positive ECG Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... criteria in the ... complex 10 in lead ... V6 has ST elevation
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
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