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cardiology ecg ekg electrocardiogram criteria differential lbbb sgarbossa checklist equivalents ischemia anesthesia anesthesiology cardiac clinical dewinter elevation emergency interpretation intraoperative
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 ... ) - ST elevation ... Equivalents #ECG #EKG #diagnosis
Differential Diagnosis for ST Segment Elevations - ACUTE STEMI - PULMONARY EMBOLISM - LBBB
Differential Diagnosis ... for ST Segment ... Elevations - ACUTE STEMI ... ) - BRUGADA SIGN ... #STSegment #STElevation
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... 1) Upsloping ST ... elevation in aVR ... Electrocardiogram #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
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STEMI: • Upsloping ... STE: "Pardee's sign ... blocking drugs #STElevation ... #ST #STEMI #Segment
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
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 ... elevation of greater ... ≥ 1mm (in any lead
What is the new modified Sgarbossa Criteria? - Concordant ST-segment elevation ≥ 1 mm in any lead -
What is the new modified ... elevation ≥ 1 mm ... in any lead - Concordant ... ≥ 1 mm in lead ... 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
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... primarily include: • ST ... Obtain a 12-lead ... If persistent ST ... Intraoperative #Checklist #Diagnosis
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