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cardiology ekg diagnosis ecg electrocardiogram stemi clinical differential em equivalents btwi criteria interpretation inversion ischemia twave
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
De Winter T Wave ... Equivalent - Left anterior ... elevation in aVR ... precordial leads #DeWinter ... #TWaves #ECG #EKG
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
De Winter T-Waves ... on EKG - Anterior ... - 2% of left anterior ... elevation in aVR ... #TWaves #EKG #ECG
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
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
bigger than QRS - deWinter ... in avR - Wellen's ... avR - proximal ... inversion in avL ... - early inferior
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... sign A - Biphasic anterior ... Deeply inverted anterior ... asymmetrical, broad-based anterior ... inversions in the anterior
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 ... ASanchez_PS #Benign
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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