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ecg electrocardiogram algorithm endocarditis omi acs cardiogenic clinical coronary dcsi detroit dewinter equivalent equivalents infarction infectiousdiseases initiative lad myocardial myocardialinfarction
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
Acute Occlusion ... meeting ST elevation criteria ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #cardiology #electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
100% Acute LAD Occlusion ... STEMI Criteria misses ... - Sam Ghali, M.D ... EM_RESUS #LAD #Occlusion ... Electrocardiogram #Clinical #Cardiology
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Pattern STEMI ... descending (LAD) occlusion ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
- Differential ... segment is the only ECG ... #Differential # ... Algorithm #cardiology ... #infarction #diagnosis
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
CRITERIA Acute ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... DCSI #Initiative #Management ... #Cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V6 • Sgarbossa criterion ... • Sgarbossa criterion ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
due to vascular occlusion ... Marantic (NTBE) Differential ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
- Overview and Differential ... due to vascular occlusion ... → TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #Diagnosis #cardiology
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