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cardiology diagnosis ecg electrocardiogram stemi differential clinical em equivalents interpretation acutepe benign btwi cheatsheet criteria elevation embolism inferoposterior inversion leadavr
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
Approach to ECGs - Ischemia ... bigger than QRS - deWinter ... avR - proximal ... - early inferior ... #ECG #EKG #diagnosis
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Hyperacute Inferior ... Biphasic T-wave ... InferoPosterior transmural ischemia ... Clinical #Cardiology #EKG
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 ischemia ... inversions in the anterior
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
(in inferior leads ... in aVR Poor R wave ... Septal (V1-2) • Anterior ... , V5-6) • Inferior ... all leads except aVR
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... artery (LMCA). left anterior ... predictor of recurrent ischemic ... prominent terminal R wave ... #AVR #leadAVR #ecg
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
• Dominant R Wave ... leads) RV Ischemia ... Leads (VI-V3) +/- Inferior ... Changes • STE ... in aVR +/- Right
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
depression in aVR ... depression in aVR ... anteroseptal and inferior ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
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