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cardiology ekg diagnosis electrocardiogram differential clinical dewinter equivalents benign criteria elevation em embolism inferoposterior interpretation inversion ischemia leadavr misread pulmonary
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... Equivalent - Left anterior ... 1) Upsloping ST ... elevation in aVR ... (>= 1 mm) 2) ST
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
on EKG - Anterior ... - 2% of left anterior ... before or after STEMI ... elevation in aVR ... #EKG #ECG #Electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... women • DDx: Acute ... in avR - Wellen's ... avR - proximal ... - early inferior
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Recognize this #ECG ... Hyperacute Inferior ... classic pattern of Acute ... #STEMI #InferoPosterior
Benign T-wave Inversion (BTWI) vs. Wellens' • Usually in leads V3-V6 (vs. V2-V4 in Wellens'), but
in inferior leads ... (II/III/aVF) ... precordium often has STE ... #Inversion #BTWI ... #EKG #ECG #diagnosis
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
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... • Dominant R Wave ... in relation to ECG ... Leads (VI-V3) +/- Inferior ... in aVR +/- Right
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... depression in aVR ... anteroseptal and inferior ... #STEMI #Segment ... diagnosis #cardiology #ecg
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
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Acute myocardial ... artery (LMCA). left anterior ... prominent terminal R wave ... #AVR #leadAVR #ecg
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