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cardiology diagnosis clinical ecg ekg electrocardiogram echocardiogram differential hypokinesis management a4c checklist criteria criticalcare ischemia modified occlusion psax sgarbossa stelevation
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... have no pain - LAD ... avR - proximal LAD ... in V1, unless LBBB
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis • Lead V1 - LBBB Criteria •
Diagnosis • Lead ... V1 - LBBB Criteria ... • Lead V1 - RBBB ... aVR - Vereckie Algorithm ... #Algorithm #
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Criteria - Suspect STEMI ... a) Concordant STE ... > 1 mm in any lead ... V1-V3 c) STE ... wave > 25% in any lead
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 ... RAD [PHB RVH ... Elevation AcutE STEMI ... Nonconducted APC #LAD ... #LBBB #IVED #WPW
LAD STEMI on with Anterior Hypokinesis POCUS Echocardiogram What's the diagnosis?? 63 year old with BP of
LAD STEMI on with ... Anterior Hypokinesis POCUS ... echo: proximal LAD ... STEMI. ... #Hypokinesis #POCUS
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 Proximal LAD STEMI with Anterior Wall Akinesis on POCUS If you have trouble appreciating regional wall motion
Proximal LAD STEMI ... Wall Akinesis on POCUS ... with a proximal LAD ... STEMI. ... #POCUS
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 LAD Coronary Artery Dissection on POCUS Severe CP x 1 hour, Ant/Sept STEMI on EKG. ED
LAD Coronary Artery ... Dissection on POCUS ... hour, Ant/Sept STEMI ... Cath LAD dissection ... Artery #Dissection #POCUS
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 Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
with 100% Acute LAD ... Remember that RBBB ... STEMI Criteria misses ... @EM_RESUS #LAD
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
Brugada 1 - Coved STE ... HOCM- dagger Q lat ... inf leads, LVH, LAE ... Trifascicular block - RBBB ... (<360ms) PE: RBBB
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
for diagnosing STEMI ... presence of a LBBB ... A: Concordant STE ... ≥ 1mm (in any lead ... Modified #Criteria #LBBB
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