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cardiology ekg ecg electrocardiogram clinical diagnosis differential management criteria lbbb modified sgarbossa cathlab ischemia occlusion stelevation wraparound acs activation acutepericarditis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... big R or R/S>I STEMI ... have no pain - LAD ... avR - proximal LAD
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... 1) Upsloping ST ... (>= 1 mm) 2) ST
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Discordance" = ST ... Criteria - Suspect STEMI ... > 1 mm in any lead ... b) Concordant STD ... wave > 25% in any lead
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
with 100% Acute LAD ... RBBB normally has ST ... an isolectric ST ... STEMI Criteria misses ... @EM_RESUS #LAD
Reperfusion Management of Myocardial Infarction with ST-segment Elevation (STEMI) #STEMI #PCI #Fibrinolysis #Transfer #Reperfusion #Algorithm #Timeline #Cardiology
Infarction with ST-segment ... Elevation (STEMI ... ) #STEMI #PCI ... #Reperfusion #Algorithm
Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI vs STEMI ... - Differential Algorithm ... The name STEMI ... believe that the ST ... #Differential #Algorithm
Recommendations for initial management of Unstable Angina/NSTEMI Flowchart for class I and class lla recommendations for initial
Unstable Angina/NSTEMI ... angina/non— ST-segment ... infarction (UA/NS TEMI ... UnstableAngina #Management #Algorithm
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... ACTIVATE CATH LAB ... Cardiogenic #Shock #Algorithm
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
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Diagnosis Framework STEMI ... Opposing leads ST ... ventricle pacing lead ... #STEMI #Segment
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