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cardiology ekg diagnosis electrocardiogram differential ecg stemi clinical dewinter em acutepe criteria elevation embolism endocrinology hyperthyroidism interpretation ischemia pulmonary segment
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Pattern STEMI Equivalent ... - Left anterior ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... #DeWinter #TWaves
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 ... EKG #DeWinter #TWaves
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... sign A - Biphasic anterior ... Deeply inverted anterior ... asymmetrical, broad-based anterior ... inversions in the anterior
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
or R/S>I STEMI Equivalents ... - hyperacute T waves ... stenosis - U wave ... in avL - early inferior ... cardiology #STEMI #Equivalents
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Opposing leads ST ... replaced by T wave ... anteroseptal and inferior ... voltage Other Causes
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 ... • Non-specific ST-T ... Changes • STE
There is inferior ST elevation with reciprocal ST depression in aVL and in lead I,
There is inferior ... ST elevation with ... conduction delay (R'-wave ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Hyperthyroidism Overview Clinical Manifestation of Hyperthyroidism: • Fatigue • Weight loss • Heat intolerance • Depression, nervousness
Hyperdefecation • Anterior ... diffuse goiter (Graves ... immunoglobulin (TSI ... antibodies (TRAb) if Graves ... hyperthyroidism #causes
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