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cardiology diagnosis ecg ekg electrocardiogram clinical concordance criteria differential modified positive st dewinter discordance ems equivalents fibrinolysis infarction lbbb management
Sgarbossa Criteria A - Concordant ST segment elevation of >1m, in any lead | Sgarbossa Criteria
Sgarbossa Criteria ... Concordant ST segment elevation ... 1mm in leads V1, V2 ... , V3 | Sgarbossa ... Disconcordant ST segment elevation
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
a tall R in V1/V2 ... S ratio > 1 in V2 ... depression • Sgarbossa ... aVL, V4 to V6 • Sgarbossa ... • Sgarbossa criterion
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
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
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 ... in V1 and V2 typically ... #ST #STEMI #Segment
Paced Rhythm ECG - Sgarbossa Positve ECG A is the patient’s baseline ECG. ECG B shows
Paced Rhythm ECG - Sgarbossa ... discordance (>5mm) in V2 ... concordant ST elevation ... in V4 #Paced #Sgarbossa
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa ... for diagnosing STEMI ... discordant ST elevation ... STD ≥ 1mm in V1, V2 ... Diagnosis #Cardiology #Sgarbossa
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
Modified Sgarbossa Positive ECG Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... by the original Sgarbossa ... lead V6 has ST elevation ... #Sgarbossa #Positive
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