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ecg diagnosis differential clinical dewinter equivalents lad twaves artery coronary d1 diagonal1 elevation equivalent high interpretation ischemia leadavr leftmain myocardialinfarction
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Pattern STEMI ... descending (LAD) occlusion ... elevation in aVR ... #EKG #Electrocardiogram ... #Criteria
Left Main Coronary Artery Occlusion on ECG - aVR ST segment elevation > 1 mm - aVR
Coronary Artery Occlusion ... on ECG - aVR ... > 1 mm - aVR ... #Diagnosis #Electrocardiogram ... #Cardiology #Criteria
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
without 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 ... EM_RESUS #LAD #Occlusion ... #Electrocardiogram ... #Clinical #Cardiology
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
anterior descending occlusions ... before or after STEMI ... elevation in aVR ... #ECG #Electrocardiogram ... #diagnosis #cardiology
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... and to detect VT ... #AVR #leadAVR #ecg ... #electrocardiogram ... #differential #cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
elevation in aVR ... V2 • Wellens sign ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... leads with STE in avR ... inversion - STE avR ... #electrocardiogram ... #cardiology #STEMI
High Lateral STEMI - D1 of LAD There is transmural injury isolated to I & aVL. These
isolated to I & aVL ... similar but this ST ... 100% proximal occlusion ... #EKG #Electrocardiogram ... #Cardiology #Clinical
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... STE: "Pardee's sign ... depression in aVR ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
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