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cardiology ekg diagnosis ecg differential stemi clinical dewinter equivalents interpretation acutepe aflutter atrial benign btwi cheatsheet criteria elevation em embolism
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Equivalent - Left anterior ... 1) Upsloping ST ... elevation in aVR ... #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 ... elevation in aVR ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #Electrocardiogram
Isthmus Independent Atrial Flutter • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
without typical inferior ... suggests CTI-independent ... flutter • Negative ... Independent #Atrial #Flutter ... #ekg #electrocardiogram
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
(in inferior leads ... Saw-Tooth = Atrial Flutter ... Septal (V1-2) • Anterior ... , V5-6) • Inferior ... Interpretation #ECG #Electrocardiogram
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
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
in avR - Wellen's ... avR - proximal ... inversion in avL ... - early inferior ... EKG #diagnosis #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
depression in aVR ... , not in aVL • ... depression in aVR ... anteroseptal and inferior ... cardiology #ecg #ekg #electrocardiogram
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
artery (LMCA). left anterior ... ST elevation in ... overdose: Prominent R wave ... prominent terminal R wave ... #electrocardiogram
Benign T-wave Inversion (BTWI) vs. Wellens' • Usually in leads V3-V6 (vs. V2-V4 in Wellens'), but
frequent TWI in inferior ... leads (II/III/aVF ... precordium often has STE ... ASanchez_PS #Benign #Twave ... diagnosis #cardiology #electrocardiogram
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
• Dominant R Wave ... Leads (VI-V3) +/- Inferior ... Changes • STE ... in aVR +/- Right ... diagnosis #cardiology #electrocardiogram
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