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cardiology diagnosis ekg ecg electrocardiogram clinical em stemi differential flutter aflutter aliem criteria dewinter typical classification counterclockwise dislocation equivalents interpretation
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
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
Counterclockwise and (Left) vs Clockwise (Right) Flutter Typical atrial flutter is counterclockwise in direction and originates from
Flutter Typical atrial ... in the inferior ... in the inferior ... Atypical atrial ... to the flutter waves
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Typical (Clockwise) Atrial ... Counterclockwise) Atrial ... Flutter • Inferior ... Typical (Clockwise) Atrial ... Flutter • Inferior
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
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
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
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