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cardiology ekg diagnosis electrocardiogram clinical differential stemi dewinter em embolism equivalents interpretation pulmonary acutepe aflutter atrial avr benign btwi cheatsheet
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... Equivalent - Left anterior ... 1) Upsloping ST ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
on EKG - Anterior ... - 2% of left anterior ... STEMI - look for ST ... - Upsloping ST ... #EKG #ECG #Electrocardiogram
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 ... #Equivalents #ECG
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 ... progression ST ... Septal (V1-2) • Anterior ... aVL, V5-6) • Inferior ... between QRS and ST
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 ... Q-wave in III, early
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... anteroseptal and inferior ... voltage Other Causes ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
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 ... in relation to ECG ... Leads (VI-V3) +/- Inferior ... Changes • STE
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
without typical inferior ... sawtooth waves ... suggests CTI-independent ... Flutter #aflutter #ecg ... #ekg #electrocardiogram
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