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diagnosis cardiology ecg ekg electrocardiogram differential dewinter stemi twaves clinical equivalents management acidosis acs cardiac catheterization cathlab causes classification criteria
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI 1 STABLE ANGINA - Angina
Coronary Syndrome (ACS ... at rest or progresses ... is reflected by ECG ... GrepMed Recommended Text ... : The Only EKG Book
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation #Diagnosis #Cardiology #ECG
electrocardiogram in the ACS ... oriented ST-segment elevation ... Diagnosis #Cardiology #ECG ... #EKG #STEMI #Equivalents
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... ) Upsloping ST elevation ... in aVR (>= 1 mm ... #EKG #Electrocardiogram
Vasospastic (Prinzmetal) Angina Definition / Epidemiology: • Rest angina attributed to coronary artery vasospasm. • Patients often
Epidemiology: • Rest ... younger than other ACS ... Variable troponin elevation ... changes on tele/ECG ... perform provocative tests
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
Winter T-Waves on EKG ... before or after STEMI ... - look for ST elevation ... in aVR (0.5-1mm ... DeWinter #TWaves #EKG
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. ... Recurrent/persistent rest ... angina despite ... low (1-2) risk, +ECG
Pericarditis on EKG Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... Widespread ST elevation ... depression; In aVR ... depression and PR elevation ... segments, usually best
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... in aVR • Posterior ... STEMI - ST depression ... #EKG #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... depression in aVR ... Prinzmetal's Angina ... #ST #STEMI #Segment ... #ekg #electrocardiogram
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
Absence of ST elevation ... - ST segment elevation ... (0.5mm-1mm) in aVR ... - “Normal” STEMI ... #EKG #Clinical
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