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cardiology ekg em clinical diagnosis ecg electrocardiogram stemi twaves differential equivalents criteria ecgeducator hyperkalemia inferolateral interpretation ischemia lateral leftmain leftmainocclusion
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
De Winter T Wave ... Equivalent - Left anterior ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... precordial leads #DeWinter
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
on EKG - Anterior ... STEMI - look for ST ... waves - Upsloping ST ... segment - ST depression ... Team @FOAMfrat #DeWinter
Note there is ST depression in aVR, a true sign of Left Main occlusion. Many
Note there is ST ... authors state that ST ... #Clinical #EM #IM ... #STElevations #STE
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
STEMI - J point STE ... bigger than QRS - deWinter ... precordial leads with STE ... in avL - early inferior ... a 15 lead - STE
De Winter's T-waves in precordial leads and ST elevation in inferior leads. There are already
precordial leads and ST ... elevation in inferior ... supplying the inferior ... #Clinical #EM #Cardiology ... #EKG #DeWinter
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
diffuse, positive, ST ... with reciprocal ST ... normalization of ST ... inverted #Diagnosis #EM ... #IM #Cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
- Elevation of ST ... J point • De Winter ... and upsloping ST ... often with 1-2 mm ST ... criterion 1 - ST
There is inferior ST elevation with reciprocal ST depression in aVL and in lead I,
There is inferior ... ST elevation with ... reciprocal ST depression ... wave in V1) with ST ... #Clinical #EM #Cardiology
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
is additional ST ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
There is a wide QRS and peaked T-waves. In particular, notice how flat the
notice how flat the ST ... #Clinical #EM #IM
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