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cardiology ekg diagnosis ecg electrocardiogram stemi differential clinical equivalents btwi elevation em embolism inferoposterior interpretation inversion ischemia leadavr misread pulmonary
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
and T wave abnormality ... Hyperacute Inferior ... Biphasic T-wave ... Q-wave in III, early ... classic pattern of Acute
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
sign A - Biphasic anterior ... Deeply inverted anterior ... asymmetrical, broad-based anterior ... deviation) • Acute ... inversions in the anterior
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
women • DDx: Acute ... in avR - Wellen's ... avR - proximal ... inversion in avL ... - early inferior
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
depression in aVR ... depression in aVR ... anteroseptal and inferior ... weeks following an acute ... Post-cardioversion • Acute
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Acute myocardial ... infarction: ST ... artery (LMCA). left anterior ... overdose: Prominent R wave ... prominent terminal R wave
Benign T-wave Inversion (BTWI) vs. Wellens' • Usually in leads V3-V6 (vs. V2-V4 in Wellens'), but
Benign T-wave Inversion ... frequent TWI in inferior ... leads (II/III/aVF ... precordium often has STE ... #Twave #Inversion
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... EKG findings in acute ... • Dominant R Wave ... Leads (VI-V3) +/- Inferior ... in aVR +/- Right
There is inferior ST elevation with reciprocal ST depression in aVL and in lead I,
There is inferior ... in aVL and in ... conduction delay (R'-wave ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
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