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cardiology ekg electrocardiogram differential criteria management sgarbossa checklist clinical equivalents ischemia lbbb anesthesia anesthesiology bells cardiac dewinter dewinters elevation gravis
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... anterior descending (LAD ... 1) Upsloping ST ... #Diagnosis #Cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... Equivalents / Don't Miss Signs ... have no pain - LAD ... #EKG #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... pain • Wellens sign ... Sgarbossa criterion 3 (modified ... #EKG #diagnosis
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Modified Sgarbossa ... Criteria - Diagnostic ... Discordance" = ST ... Criteria - Suspect STEMI ... #ecg #cardiology
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 ... #Modified #EKG
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... STE: "Pardee's sign ... #STEMI #Segment ... #cardiology #ecg
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
ECGofTheDay - What is the most likely diagnosis? What is this finding called? ... The combination of
the most likely diagnosis ... combination of ST ... the De Winter ECG ... in 2% of acute LAD ... be considered a STEMI
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... primarily include: • ST ... ECG machine. ❷ ... If persistent ST ... Intraoperative #Checklist #Diagnosis
Weakness - Differential Diagnosis Framework Approach To Weakness: • Non-neuromuscular disorder (Cardiac, pulmonary etc) • CNS ->
- Differential Diagnosis ... Lack of UMN/LMN signs ... electromyographic (EMG ... #Differential #Diagnosis ... #neurology
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