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cardiology ekg electrocardiogram diagnosis stemi clinical differential dewinter em embolism equivalents interpretation acutepe avr cheatsheet criteria elevation inferolateral inferoposterior ischemia
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... Equivalent - Left anterior ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... #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 ... segment - ST depression
De Winter's T-waves in precordial leads and ST elevation in inferior leads. There are already
precordial leads and ST ... elevation in inferior ... supplying the inferior ... addition to the anterior ... #Clinical #EM #Cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... 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 ... QRS complex Pulmonary ... anteroseptal and inferior ... voltage Other Causes ... diagnosis #cardiology #ecg
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
0.5mm downgoing ST ... line; upsloping ST ... vessel disease - ST ... in avL - early inferior ... - R/S >1 or ST
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... evaluating for other causes ... Leads (VI-V3) +/- Inferior ... • Non-specific ST-T ... #EKG #Pulmonary
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
ECG of a 55-year-old ... : “Nonspecific ST ... Recognize this #ECG ... Hyperacute Inferior ... Biphasic T-wave
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
There is inferior ST elevation with reciprocal ST depression in aVL and in lead I,
There is inferior ... ST elevation with ... reciprocal ST depression ... in V1) with ST ... #EKG #STEMI #Inferior
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