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cardiology diagnosis ecg electrocardiogram stemi clinical differential dewinter equivalents interpretation acutepe benign cheatsheet criteria ecgeducator elevation embolism im inferolateral inferoposterior
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Equivalent - Left anterior ... 1) Upsloping ST ... elevation in aVR ... (>= 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 ... elevation in aVR ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #Electrocardiogram
Benign T-wave Inversion (BTWI) vs. Wellens' • Usually in leads V3-V6 (vs. V2-V4 in Wellens'), but
(BTWI) vs. ... in inferior leads ... (II/III/aVF) ... ASanchez_PS #Benign #Twave ... #EKG #ECG #diagnosis
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
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
EKG Interpretation ... (in inferior leads ... in aVR Poor R wave ... Septal (V1-2) • Anterior ... , V5-6) • 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 ... Biphasic T-wave ... Clinical #Cardiology #EKG
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
depression in aVR ... PR segment in aVR ... 3 - diffuse T wave ... inverted #Diagnosis #EM ... IM #Cardiology #EKG
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
elevation in aVR ... sign A - Biphasic anterior ... Deeply inverted anterior ... asymmetrical, broad-based anterior ... inversions in the anterior
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... in avR - Wellen's ... avR - proximal ... - early inferior ... #EKG #diagnosis
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
• Dominant R Wave ... sensitive finding) • TWI ... Leads (VI-V3) +/- Inferior ... Changes • STE ... in aVR +/- Right
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