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cardiology ekg diagnosis electrocardiogram ecg clinical differential management criteria dewinter sgarbossa twaves cathlab em equivalents ischemia lbbb modified st stelevation
ST Elevation Myocardial Infarction (STEMI) Criteria: • New ST-segment elevation at the J point in 2 contiguous leads
ST Elevation Myocardial ... Infarction (STEMI ... leads other than V2 ... • In leads V2- ... Myocardial #Infarction #STEMI
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
leads, except • V2 ... have no pain - LAD ... avR - proximal LAD ... infarct, get a 15 lead ... electrocardiogram #cardiology #STEMI
Sgarbossa Criteria A - Concordant ST segment elevation of >1m, in any lead | Sgarbossa Criteria
Concordant ST segment elevation ... of >1m, in any lead ... 1mm in leads V1, V2 ... Disconcordant ST segment elevation ... of >5mm, in any lead
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... aVR • Posterior STEMI ... a tall R in V1/V2 ... S ratio > 1 in V2
Reperfusion Management of Myocardial Infarction with ST-segment Elevation (STEMI) #STEMI #PCI #Fibrinolysis #Transfer #Reperfusion #Algorithm #Timeline #Cardiology
with ST-segment Elevation ... (STEMI) #STEMI ... #Reperfusion #Algorithm
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
with 100% Acute LAD ... So ANY ST Elevation ... have ’relative elevation ... STEMI Criteria misses ... @EM_RESUS #LAD
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... ) Upsloping ST elevation
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
before or after STEMI ... - look for ST elevation ... point usually V2
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... anteroseptal leads (V2 ... rSR' in V1 and V2 ... ventricle pacing lead ... #ST #STEMI #Segment
Recommendations for initial management of Unstable Angina/NSTEMI Flowchart for class I and class lla recommendations for initial
Unstable Angina/NSTEMI ... — ST-segment elevation ... infarction (UA/NS TEMI ... UnstableAngina #Management #Algorithm
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