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ecg ekg cardiology diagnosis clinical differential criteria equivalents modified sgarbossa checklist circumflex d1 dewinter diagonal1 elevation high interpretation ischemia 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 ... TWaves #ECG #EKG #Electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
with 100% Acute LAD ... RBBB normally has ST ... STEMI Criteria misses ... @EM_RESUS #LAD ... Total #ECG #EKG #Electrocardiogram
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 ... EKG #diagnosis #electrocardiogram
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 ... differential #cardiology #electrocardiogram
Mid Left Circumflex STEMI on ECG This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... ST elevations in ... with reciprocal st ... frequently missed stemi ... #ECG #EKG #Electrocardiogram
Wraparound LAD STEMI on EKG 47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... atrial rhythm with ST ... all wraparound LAD ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... STE: "Pardee's sign ... (Eiffel Tower sign ... #STEMI #Segment ... cardiology #ecg #ekg #electrocardiogram
High Lateral STEMI - D1 of LAD There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... - D1 of LAD There ... similar but this ST ... @EM_RESUS #STEMI ... Diagonal1 #ECG #EKG #Electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Discordance" = ST ... Criteria - Suspect STEMI ... > 1 mm in any lead ... wave > 25% in any lead ... Checklist #EKG #electrocardiogram
Modified Sgarbossa Positive ECG Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... complex 10 in lead ... V6 has ST elevation ... Modified #EKG #Electrocardiogram
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