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cardiology ekg ecg diagnosis electrocardiogram clinical criteria differential sgarbossa management modified rebelem stelevation acs checklist ischemia malignant modifiedsgarbossa occlusion pleural
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Discordance" = ST ... Criteria - Suspect STEMI ... a) Concordant STE ... b) Concordant STD ... V1-V3 c) STE
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
for diagnosing STEMI ... presence of a LBBB ... ≥ 1mm (in any lead ... B: Concordant STD ... Modified #Criteria #LBBB
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- J point STE > ... 0.5mm downgoing ST ... have no pain - LAD ... avR - proximal LAD ... in V1, unless LBBB
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 ... repolarization Diffuse ST ... Elevation AcutE STEMI ... Brugada syndrome ST
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
: “Nonspecific ST ... STE in II, III, ... Reciprocal STD in ... STD in V2 (posterior ... Cardiology #EKG #STEMI
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
Remember that RBBB ... normally has ST ... So ANY ST Elevation ... an isolectric ST ... STEMI Criteria misses
Differential Diagnosis for ST Segment Elevations - ACUTE STEMI - PULMONARY EMBOLISM - LBBB
Diagnosis for ST ... Elevations - ACUTE STEMI ... EMBOLISM - LBBB ... #STElevation #STEMI
What are the original Sgarbossa Criteria? - Concordant ST-segment elevation ≥ 1 mm in any lead =
- Concordant ST-segment ... ≥ 1 mm in any lead ... points - Concordant ST-segment ... points - Discordant ST-segment ... Sgarbossa #Criteria #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
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Diagnosis Framework STEMI ... ventricle pacing lead ... morphology similar to LBBB ... #STEMI #Segment
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