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cardiology diagnosis ekg ecg electrocardiogram differential clinical ischemia criteria equivalents lbbb modified sgarbossa acutepericarditis acutestemi anesthesia anesthesiology brugadasyndrome cardiac checklist
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 ... So ANY ST Elevation ... STEMI Criteria misses ... @EM_RESUS #LAD
Differential Diagnosis for ST Segment Elevations - ACUTE STEMI - PULMONARY EMBOLISM - LBBB
Diagnosis for ST ... Elevations - ACUTE STEMI ... ) - BRUGADA SIGN ... SPIKED HELMET 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 ... (>= 1 mm) 2) ST
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... • Posterior STEMI ... V2 • Wellens sign ... pain • Wellens sign
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... 0.5mm downgoing ST ... Equivalents / Don't Miss Signs ... have no pain - LAD ... avR - proximal LAD
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 ... blocking drugs #STElevation ... #ST #STEMI #Segment
LAD IWMI LAHB RAD [PHB RVH Lateral wall infarct Lead reversal Dextrocardia Wide ORS RBBB - terminal delay [BBB IVED WPW = delta wave Hyperkalemia Type l antiarrhythmic drugs Pacemaker ST elevation Early repolarization
LAD IWMI LAHB ... drugs Pacemaker ST ... AcutE STEMI Variant ... Nonconducted APC #LAD ... Type1AntiarrhythmicDrugs #Pacemaker #STelevation
There is inferior ST elevation with reciprocal ST depression in aVL and in lead I,
There is inferior ST ... elevation with ... in aVL and in lead ... suggestive of STEMI ... elevation in V1
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia If the patient is unconscious, signs of cardiac
is unconscious, signs ... primarily include: • ST ... trolley and 12-lead ... Obtain a 12-lead ... If persistent ST
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
for diagnosing STEMI ... is concordant ST ... or a discordant ST ... elevation of greater ... ≥ 1mm (in any lead
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