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cardiology ekg diagnosis electrocardiogram ecg stemi differential clinical dewinter em acutepe criteria elevation embolism interpretation ischemia segment stelevation
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
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
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
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
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Opposing leads ST ... QRS complex Pulmonary ... anteroseptal and inferior ... voltage Other Causes
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
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 ... • Dominant R Wave ... Leads (VI-V3) +/- Inferior ... • Non-specific ST-T
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