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cardiology diagnosis ekg ecg electrocardiogram clinical criteria differential sgarbossa management dewinter modified stelevation twaves cathlab em equivalents interpretation ischemia rebelem
LAD IWMI LAHB RAD [PHB RVH Lateral wall infarct Lead reversal Dextrocardia Wide ORS RBBB - terminal delay [BBB IVED WPW = delta wave Hyperkalemia Type l antiarrhythmic drugs Pacemaker ST elevation Early repolarization
LAD IWMI LAHB ... Pacemaker ST elevation ... pericarditis Elevation ... AcutE STEMI Variant ... #LBBB #IVED #WPW
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... have no pain - LAD ... avR - proximal LAD ... in V1, unless LBBB ... electrocardiogram #cardiology #STEMI
Differential Diagnosis for ST Segment Elevations - ACUTE STEMI - PULMONARY EMBOLISM - LBBB
for ST Segment Elevations ... - ACUTE STEMI ... EMBOLISM - LBBB ... #STSegment #STElevation ... #STEMI #Differential
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
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
with 100% Acute LAD ... Remember that RBBB ... So ANY ST Elevation ... STEMI Criteria misses ... @EM_RESUS #LAD
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis • Lead V1 - LBBB Criteria •
Diagnosis • Lead ... V1 - LBBB Criteria ... • Lead V1 - RBBB ... aVR - Vereckie Algorithm ... #Algorithm #
Approach to ECGs Check - Age, gender, name - 25mm/s; 10mm/mV - 1mm = 40ms; 0.1 mV Rate
ve in I, II - LAD ... Ml, WPW, LVH, LBBB ... , LAFB - RAD: ... (V1/V2 rsr', lat ... leads slurred S), LBBB
What are the original Sgarbossa Criteria? - Concordant ST-segment elevation ≥ 1 mm in any lead =
Concordant ST-segment elevation ... ≥ 1 mm in any lead ... Discordant ST-segment elevation ... ≥ 5 mm in any lead ... Sgarbossa #Criteria #LBBB
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
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... rSR' in V1 and V2 ... ventricle pacing lead ... morphology similar to LBBB ... #ST #STEMI #Segment
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