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cardiology ekg electrocardiogram diagnosis stemi clinical differential dewinter em embolism equivalents interpretation pulmonary acutepe benign btwi cheatsheet criteria elevation inferoposterior
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... Equivalent - Left anterior ... 1) Upsloping ST ... elevation in aVR ... (>= 1 mm) 2) ST
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
on EKG - Anterior ... - 2% of left anterior ... elevation in aVR ... - Upsloping ST ... #EKG #ECG #Electrocardiogram
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
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 ... Interpretation #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 ... #TWaves
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... in avR - Wellen's ... avR - proximal ... - early inferior
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
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... depression in aVR ... anteroseptal and inferior ... voltage Other Causes ... diagnosis #cardiology #ecg
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 ... overdose: Prominent R wave ... 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
evaluating for other causes ... • Dominant R Wave ... in relation to ECG ... Leads (VI-V3) +/- Inferior ... in aVR +/- Right
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