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cardiology ekg diagnosis ecg differential clinical 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
Equivalent - Left anterior ... 1) Upsloping ST ... (>= 1 mm) 2) 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 ... - Upsloping ST ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #Electrocardiogram
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
sign A - Biphasic anterior ... Deeply inverted anterior ... asymmetrical, broad-based anterior ... inversions in the anterior ... differential #cardiology #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Opposing leads ST ... anteroseptal and inferior ... voltage Other Causes ... cardiology #ecg #ekg #electrocardiogram
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 ... Interpretation #ECG #Electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- hyperacute T waves ... - deWinter T waves ... stenosis - U wave ... in avL - early inferior ... EKG #diagnosis #electrocardiogram
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
without typical inferior ... sawtooth waves ... suggests CTI-independent ... • Negative F waves ... aflutter #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 ... Leads (VI-V3) +/- Inferior ... Changes • STE ... diagnosis #cardiology #electrocardiogram
Benign T-wave Inversion (BTWI) vs. Wellens' • Usually in leads V3-V6 (vs. V2-V4 in Wellens'), but
Benign T-wave Inversion ... frequent TWI in inferior ... precordium often has STE ... ASanchez_PS #Benign #Twave ... diagnosis #cardiology #electrocardiogram
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