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diagnosis ekg cardiology ecg clinical criteria differential interpretation equivalents hyperkalemia lbbb management modified sgarbossa tachycardia acs acute approach atrial blastomycosis
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... occlusion 1) ... elevation in aVR (>= 1 ... #ECG #EKG #Electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
ECGs - Ischemia MI ... Pathologic Q - 1/ ... in 2 leads or 1 ... early inferior MI ... EKG #diagnosis #electrocardiogram
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
Acute Occlusion MI ... • Posterior MI ... • Hyperacute T Waves ... MyocardialInfarction #OMI #STEMI ... diagnosis #cardiology #electrocardiogram
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... , often with 1-2 ... with R/S ratio > 1 ... Sgarbossa criterion 1 ... differential #cardiology #electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
for diagnosing MI ... or Pacemaker 1) ... Criteria - Suspect STEMI ... Concordant STE > 1 ... Checklist #EKG #electrocardiogram
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
Interpretation Cheat Sheet 1) ... Interval: • 1° ... (1 mm) wide > ... - Amy Chung, MD ... Interpretation #ECG #Electrocardiogram
Hyperkalemia on EKG "Mild" Hyperkalemia • Peaked, narrow-based T Waves • Double counting of HR by EKG
Hyperkalemia on EKG "Mild ... narrow-based T Waves ... • Pseudo-STEMI ... rhythm • "Sine wave ... Hyperkalemia #EKG #ECG #electrocardiogram
Mid Left Circumflex STEMI on ECG This patient who had cp for 1 hour had a 100%
STEMI on ECG ... who had cp for 1 ... elevations in leads 1 ... #ECG #EKG #Electrocardiogram ... #POCUS
Progression of EKG changes in Acute Coronary Syndrome (ACS) Hyperacute T waves: • Broad-based and symmetrical, usually
) Hyperacute T waves ... depression and Twave ... or R/S ratio >1 ... Satya Patel, MD ... Progression #diagnosis #electrocardiogram
Wellens' Sign: LAD-T Wave Inversion Life threatening T wave inversions in precordial leads. Often V2-V3 Specific
Wellens' Sign: LAD-T Wave ... threatening T wave ... High rate in <1 ... anterior wall MI ... Sign #EKG #ECG #Electrocardiogram
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