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cardiology diagnosis differential clinical ekg management ecg electrocardiogram causes coronary fluoroscopy cardiac cardiaccath catheterization lad acs angiogram comatose elevation equivalents
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... leads, except • V2 ... • DDx: Acute STEMI ... big R or R/S>I STEMI ... depression in V2
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... NSTEMI: 1. ... lab w/in 24 h: NSTEMI ... prior to d/c: NSTEMI ... #Inpatient #CathLab
Acute Coronary Syndrome - Management Algorithm • STEMI • NSTEMI (Troponin Positive) / Unstable Angina (UA,
Syndrome - Management Algorithm ... • STEMI • NSTEMI ... ACS #Management #Algorithm
ST Elevation Myocardial Infarction (STEMI) Criteria: • New ST-segment elevation at the J point in 2 contiguous leads
Myocardial Infarction (STEMI ... leads other than V2 ... • In leads V2- ... Myocardial #Infarction #STEMI
Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI vs STEMI ... - Differential Algorithm ... The name STEMI ... #ACS #OMI #STEMI ... #Differential #Algorithm
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
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
before or after STEMI ... point usually V2
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 55 year old, severe chest pain after death of close
diagnosis was STEMI ... clinical #cardiology #cathlab
►
 Reperfusion Management of Myocardial Infarction with ST-segment Elevation (STEMI) #STEMI #PCI #Fibrinolysis #Transfer #Reperfusion #Algorithm #Timeline #Cardiology
ST-segment Elevation (STEMI ... ) #STEMI #PCI ... #Reperfusion #Algorithm
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
and published an algorithm ... CardiacArrest #Algorithm ... ROSC #Comatose #CathLab ... #NSTEMI #Activation
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