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diagnosis cardiology ekg ecg clinical differential electrocardiogram management stemi criteria algorithm hepatology syndrome pocus video em physicalexam radiology stelevation causes
ST Elevation Myocardial Infarction (STEMI) Criteria: • New ST-segment elevation at the J point in 2 contiguous leads
ST Elevation Myocardial ... New ST-segment elevation ... leads other than V2 ... • In leads V2- ... DharSaty #ST #Elevation
Sgarbossa Criteria A - Concordant ST segment elevation of >1m, in any lead | Sgarbossa Criteria
Concordant ST segment elevation ... 1mm in leads V1, V2 ... Disconcordant ST segment elevation
Brugada Syndrome - EKG Characteristics Patients with Brugada have a pseudo-RBBB and persistent ST elevations in V1-V2. Type
persistent ST elevations ... in V1-V2. ... Type 1: • ST elevations ... Type 2: • ST elevations
Progression of EKG changes in Acute Coronary Syndrome (ACS) Hyperacute T waves: • Broad-based and symmetrical, usually
/S ratio >1 ST elevation ... : • New ST elevation ... leads other than V2 ... mV • In leads V2 ... complex in leads V2
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
of ST Segment Elevation ... anteroseptal leads (V2 ... rSR' in V1 and V2 ... - ST-segment elevation ... in V1 and V2 typically
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Conventional STEMI - Elevation ... with 1-2 mm ST elevation ... a tall R in V1/V2 ... S ratio > 1 in V2 ... modified) - ST elevation
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
- look for ST elevation ... point usually V2
Brugada syndrome Types 1, 2 and 3 There are three types of ECG presentations, referred to as
The ST segment elevation ... tail”) in V1, V2 ... the ST segment elevation ... the ST segment elevation
Paced Rhythm ECG - Sgarbossa Positve ECG A is the patient’s baseline ECG. ECG B shows
discordance (>5mm) in V2 ... concordant ST elevation
De Winter's T-waves in precordial leads and ST elevation in inferior leads. There are already
precordial leads and ST elevation ... already QS-waves in V2
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