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cardiology ekg diagnosis ecg differential stemi clinical dewinter em equivalents interpretation acutepe aflutter atrial avr benign btwi cheatsheet criteria elevation
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
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
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 ... cardiology #ecg #ekg #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
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 ... #Clinical #EM #Cardiology ... EKG #DeWinter #TWaves
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
(in inferior leads ... progression ST ... aVL, V5-6) • Inferior ... between QRS and ST ... Interpretation #ECG #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
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
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 ... • Non-specific ST-T ... Changes • STE ... diagnosis #cardiology #electrocardiogram
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