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cardiology ekg ecg electrocardiogram clinical diagnosis management differential twaves criteria lbbb modified sgarbossa cathlab dewinter dewinters ischemia malignant myocardial omi
Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... believe that the ST ... predictive of occlusion ... #Differential #Algorithm ... #cardiology #occlusionMI
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 ... pattern of Acute RCA Occlusion ... Cardiology #EKG #STEMI
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
with 100% Acute LAD ... Occlusion Remember ... STEMI Criteria misses ... @EM_RESUS #LAD ... #Occlusion #Total
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
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... ) occlusion ... 1) Upsloping ST ... (>= 1 mm) 2) ST
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. ... #ProximalLAD #Occlusion ... #ECG #EKG #STEMI
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
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
patterns for Acute Occlusion ... without meeting ST ... @jonnywatt #Occlusion ... MyocardialInfarction #OMI #STEMI
Mid Left Circumflex STEMI on ECG This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... a 100% occlusion ... EKG can look in occlusion ... ST elevations in ... with reciprocal 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
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