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cardiology ekg diagnosis ecg electrocardiogram em pocus differential stemi aliem aflutter atrial flutter msk pulmonary radiology sports dewinter embolism orthopedics
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
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
De Winter T Wave ... Equivalent - Left anterior ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... #DeWinter #TWaves
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 ... FOAMfrat #DeWinter #TWaves
Hip Dislocation - Posterior dislocation (90%): Typically presents with hip flexed and adducted; 5-15% of posterior
Anterior dislocation ... externally rotated #Dagnosis ... #EM #Ortho #Hip ... Classification #Anterior
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
symmetrical T-waves ... sign A - Biphasic anterior ... Deeply inverted anterior ... asymmetrical, broad-based anterior ... inversions in the anterior
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
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 ... interval J Wave ... anteroseptal and inferior
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 ... depression or T wave ... in avL - early inferior
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
and T wave abnormality ... Hyperacute Inferior ... Biphasic T-wave ... Q-wave in III, early ... #Clinical #Cardiology
Left Anterior Fascicular Block on EKG • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Left Anterior Fascicular ... with tall R waves ... with deep S waves ... #LAFB #Left #Anterior ... Electrocardiogram #labeled #clinical
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