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cardiology clinical ekg diagnosis ecg electrocardiogram echocardiogram differential criteria hypokinesis lbbb management sgarbossa a4c anterior cardiac criticalcare embolism equivalents occlusion
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Modified Sgarbossa ... Dominant S wave in V1 ... (deep S waves V1 ... Criteria - Suspect STEMI ... 1 mm in leads V1
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... - STE V1 >V2 ... tall T wave in V1 ... is inverted in V1
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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 Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis • Lead V1 - LBBB Criteria •
Diagnosis • Lead ... V1 - LBBB Criteria ... • Lead V1 - RBBB ... aVR - Vereckie Algorithm ... #Algorithm #
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
with 100% Acute LAD ... Depression in V1 ... STEMI Criteria misses ... @EM_RESUS #LAD
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... aVR • Posterior STEMI ... Sgarbossa criterion 3 (modified ... anterior leads) #STEMI
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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 There is inferior ST elevation with reciprocal ST depression in aVL and in lead I,
in aVL and in lead ... suggestive of STEMI ... delay (R'-wave in V1 ... ST elevation in V1 ... suggestive of STEMI
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
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