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diagnosis cardiology ecg electrocardiogram clinical management dewinter equivalents interpretation neurology ventricular airway algorithm anatomy avnrt awaves bradyarrhythmia bradycardia cannon causes
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... depressions and tall T waves ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
De Winter T-Waves ... T waves may come ... before or after STEMI ... symmetrical T waves ... FOAMfrat #DeWinter #TWaves
T-Wave ECG changes in Hyperkalemia vs Hyperacute MI - Hyperkalemia: Increased height, without increase area -
T-Wave ECG changes ... in Hyperkalemia ... Ferdous @fazalabul #TWaves ... #ECG #Hyperkalemia ... electrocardiogram #comparison
Hyperkalemia on EKG "Mild" Hyperkalemia • Peaked, narrow-based T Waves • Double counting of HR by EKG
EKG "Mild" Hyperkalemia ... narrow-based T Waves ... Loss of visible P waves ... • Pseudo-STEMI ... rhythm • "Sine wave
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... prominent, symmetric T waves ... aVR - “Normal” STEMI ... #DeWinter #TWaves ... #ECG #EKG #Clinical
Osborn (J Wave) Etiology • Hypothermia (below 320C / SOOF) • Normal variant • Hypercalcemia • Neurological
Osborn (J Wave) ... Normal variant • Hypercalcemia ... leads • Size of wave ... value #Osborn #JWave ... #Cardiology #EKG
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... symmetrical T-waves ... • Hyperacute T wave ... ST-segment (T wave ... #differential #
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- hyperacute T waves ... - deWinter T waves ... stenosis - U wave ... depression or T wave ... Interpretation #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework STEMI ... • Hypercalcemia ... STElevation #ST #STEMI ... #ekg #electrocardiogram
Hyperkalemia - Management Algorithm • IV calcium • IV insulin and glucose and/or salbutamolt • Consider
potassium and ECG ... Tall, "peaked" T waves ... mmol/l - Peaked T waves ... amplitude of P waves ... - Absence of T wave
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