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diagnosis cardiology ekg electrocardiogram clinical management differential stemi criteria em treatment pericarditis stelevation causes hyperkalemia mnemonic sgarbossa syndrome dewinter lad
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
: “Nonspecific ST ... Recognize this #ECG ... STE in II, III, ... Reciprocal STD in ... STD in V2 (posterior
ST depression & T wave inversion causes #Pathophys #Diagnosis #Cardiology #MedStudent #EKG #Differential #TWI #STD #TWaveInversion
ST depression & ... T wave inversion ... Cardiology #MedStudent #EKG ... Differential #TWI #STD
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Discordance" = ST ... a) Concordant STE ... b) Concordant STD ... V1-V3 c) STE ... electrocardiogram #ecg
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram
CDC Sexually Transmitted Infections (STI) Treatment Guidelines, 2021 • Bacterial Vaginosis • Cervicitis • Chlamydial Infections
Transmitted Infections (STI ... Transmitted #Infections #STI ... Management #CDC #STD
Benign Early Repolarization (BER) on EKG • Widespread concave STE most prominent in mid-to-left precordium (V2-V5)
Widespread concave STE ... QRS complex) • STE ... : T-wave height ... No reciprocal STD ... #ECG #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... STEMI - J point STE ... 0.5mm downgoing ST ... - R/S >1 or ST
De Winter's T Waves Concerning for proximal LAD occlusion (Present in 2% of patients) • Upsloping ST-Depression
• Upsloping ST-Depression ... V1-V4 without STE ... leads V1-V4 • STE ... #DeWinters #TWaves ... #EKG #ECG #diagnosis
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
on EKG - Anterior ... STEMI - look for ST ... - Upsloping ST ... segment - ST depression ... #EKG #ECG #Electrocardiogram
Progression of EKG changes in ACS • Hyperacute T waves • ST depression and T waves
Progression of EKG ... • ST depression ... • ST elevation ... #Progression #EKG ... #ACS #ECG #electrocardiogram
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