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diagnosis ekg electrocardiogram algorithm differential acs cardiogenic dcsi detroit dewinter equivalent equivalents infarction initiative interpretation ischemia management myocardial myocardialinfarction occlusionmi
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
Acute Occlusion ... • Hyperacute T Waves ... @jonnywatt #Occlusion ... #STEMI #equivalent ... #diagnosis #cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI ... segment is the only ECG ... EMNews #ACS #OMI ... #Algorithm #cardiology ... infarction #diagnosis #coronary
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
OMI - 2% of left ... anterior descending occlusions ... before or after STEMI ... FOAMfrat #DeWinter #TWaves ... #diagnosis #cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... Equivalents / Don't Miss Signs ... early inferior MI ... #Ischemia #ECG ... electrocardiogram #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM INCLUSION ... Ischemic Symptoms  EKG ... biomarker evidence of AMI ... (STEMI or NSTEMI ... Initiative #Management #Cardiology
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