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cardiology ekg electrocardiogram differential clinical stemi dewinter em embolism equivalents interpretation pulmonary acutepe aflutter atrial avr benign btwi cheatsheet cord
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Equivalent - Left anterior ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... #DeWinter #TWaves ... #Diagnosis #Cardiology
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
on EKG - Anterior ... - 2% of left anterior ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #Electrocardiogram ... #diagnosis #cardiology
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 ... #TWaves
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 ... inversions in the anterior ... #EKG #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... in avL - early inferior ... #Ischemia #ECG ... #EKG #diagnosis
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
(in inferior leads ... Septal (V1-2) • Anterior ... aVL, V5-6) • Inferior ... Interpretation #ECG ... Electrocardiogram #cardiology #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... - Differential Diagnosis ... anteroseptal and inferior ... voltage Other Causes ... #cardiology #ecg
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
evaluating for other causes ... • Dominant R Wave ... Leads (VI-V3) +/- Inferior ... Changes • STE ... Embolism #AcutePE #diagnosis
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
without typical inferior ... suggests CTI-independent ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... cardiology #clinical #diagnosis
Benign T-wave Inversion (BTWI) vs. Wellens' • Usually in leads V3-V6 (vs. V2-V4 in Wellens'), but
frequent TWI in inferior ... precordium often has STE ... ASanchez_PS #Benign #Twave ... Inversion #BTWI #EKG ... #ECG #diagnosis
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