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cardiology ekg diagnosis ecg electrocardiogram stemi clinical differential em dewinter equivalents interpretation acutepe aflutter aliem atrial avr benign btwi causes
De Winter's T-waves in precordial leads and ST elevation in inferior leads. There are already
elevation in inferior ... supplying the inferior ... addition to the anterior ... #Clinical #EM #Cardiology ... EKG #DeWinter #TWaves
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 ... #DeWinter #TWaves
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
on EKG - Anterior ... - 2% of left anterior ... STEMI - look for ST ... - Upsloping ST ... FOAMfrat #DeWinter #TWaves
Hip Dislocation - Posterior dislocation (90%): Typically presents with hip flexed and adducted; 5-15% of posterior
Anterior dislocation ... externally rotated #Dagnosis ... #EM #Ortho #Hip ... Classification #Anterior
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
symmetrical T-waves ... sign A - Biphasic anterior ... Deeply inverted anterior ... asymmetrical, broad-based anterior ... inversions in the anterior
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
(in inferior leads ... progression ST ... Septal (V1-2) • Anterior ... aVL, V5-6) • Inferior ... between QRS and ST
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Opposing leads ST ... replaced by T wave ... interval J Wave ... anteroseptal and inferior
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- hyperacute T waves ... - deWinter T waves ... stenosis - U wave ... depression or T wave ... in avL - early inferior
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
: “Nonspecific ST ... and T wave abnormality ... Hyperacute Inferior ... Biphasic T-wave ... Q-wave in III, early
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
without typical inferior ... sawtooth waves ... suggests CTI-independent ... • Negative F waves ... • Positive F waves
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