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cardiology ecg clinical electrocardiogram diagnosis differential criteria modified sgarbossa acs cardiac lbbb management occlusion cad cardiogenic cardiothoracic catheterization cathlab checklist
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... big R or R/S>I STEMI ... have no pain - LAD ... avR - proximal LAD ... #EKG #diagnosis
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Reciprocal STD in ... STD in V2 (posterior ... Clinical #Cardiology #EKG ... #STEMI #InferoPosterior
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Pattern STEMI ... anterior descending (LAD ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... #EKG #Electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Criteria - Suspect STEMI ... > 1 mm in any lead ... b) Concordant STD ... wave > 25% in any lead ... Diagnosis #Checklist #EKG
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
Here’s an ECG of ... with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... #EKG #Electrocardiogram
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... Indications Cath Lab ... ASAP: STEMI NSTEMI ... low (1-2) risk, +ECG ... /UA: stable, TIMI
Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... The name STEMI ... believe that the ST ... segment is the only ECG ... #Differential #Algorithm
Mid Left Circumflex STEMI on ECG This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... ST elevations in ... with reciprocal st ... frequently missed stemi ... Mid #Circumflex #STEMI
Wraparound LAD STEMI on EKG 47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... on EKG 47 year ... atrial rhythm with ST ... all wraparound LAD ... #STEMI #EKG #clinical
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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