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clinical diagnosis management pocus cardiology differential ultrasound algorithm echocardiogram ekg treatment pulmonary radiology causes video physicalexam ecg pharmacology rheumatology electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
STEMI - J point STE ... myocarditis (diffuse STE ... precordial leads with STE ... inversion - STE ... a 15 lead - STE
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Should see "Appropriate ... Discordance" = ST ... a) Concordant STE ... b) Concordant STD ... V1-V3 c) STE
Note there is ST depression in aVR, a true sign of Left Main occlusion. Many
Note there is ST ... authors state that ST ... #STElevations #STE
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
TypeA Aortic Dissection on POCUS Echocardiogram 80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
rwp with 1-2mm ste ... Next step?
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 Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
is concordant ST ... changes (ST segments ... or a discordant ST ... A: Concordant STE ... C: Discordant STE
Benign Early Repolarization (BER) on EKG • Widespread concave STE most prominent in mid-to-left precordium (V2-V5)
Widespread concave STE ... QRS complex) • STE ... No reciprocal STD
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
imitator" • ↓ K - ST ... QT, Osborn J (see ... long QT via long ST ... Brugada 1 - Coved STE ... RBBB, LAFB/LPFB (see
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
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Upsloping convex STE ... Opposing leads ST ... Cardiomyopathy: • STE ... Other Causes - STE
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