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diagnosis ekg electrocardiogram equivalents acs algorithm coronary dewinter elevation equivalent infarction interpretation ischemia myocardial myocardialinfarction occlusionmi segment st stelevation syndrome
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 ... vs STEMI - Differential ... segment is the only ECG ... #STEMI #Differential ... #Algorithm #cardiology
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 ... #Ischemia #ECG ... electrocardiogram #cardiology ... Interpretation #differential
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... pain • Wellens sign ... #differential # ... cardiology #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework STEMI ... STE: "Pardee's sign ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
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