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cardiology ekg ecg diagnosis electrocardiogram management pocus echocardiogram differential cathlab anterior criticalcare em a4c cardiac cardiaccath coronary criteria dewinter hypokinesis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... big R or R/S>I STEMI ... have no pain - LAD ... avR - proximal LAD
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
: “Nonspecific ST ... Reciprocal STD in ... STD in V2 (posterior ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
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 ... b) Concordant STD ... wave > 25% in any lead
LAD STEMI on with Anterior Hypokinesis POCUS Echocardiogram What's the diagnosis?? 63 year old with BP of
LAD STEMI on with ... echo: proximal LAD ... STEMI. ... #STEMI #Anterior ... Echocardiogram #clinical
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 Proximal LAD STEMI with Anterior Wall Akinesis on POCUS If you have trouble appreciating regional wall motion
Proximal LAD STEMI ... with a proximal LAD ... STEMI. ... #Hypokinesis #LAD ... #STEMI #Clinical
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 Proximal LAD STEMI on EKG Pt required pressors to get to PCI. Eric Abrams, MD @eabramsMD #Proximal #LAD #STEMI
Proximal LAD STEMI ... #Proximal #LAD ... #STEMI #EKG #ECG ... #clinical #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
with 100% Acute LAD ... an isolectric ST ... STEMI Criteria misses ... @EM_RESUS #LAD ... Electrocardiogram #Clinical
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
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 ... ≥ 1mm (in any lead ... B: Concordant STD
ECG of a 32-year-old lady with chest pain. Cath showed 100% proximal LAD Occlusion.
a 32-year-old lady ... 100% proximal LAD ... Occlusion #ECG #EKG #STEMI ... #Clinical #ECG
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