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cardiology diagnosis ekg differential clinical endocarditis omi acs algorithm cardiac contiguous coronary dewinter diagram einthoventriangle emergencymedicine equivalent equivalents infarction infectiousdiseases
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
Acute Occlusion ... meeting ST elevation criteria ... MyocardialInfarction #OMI #STEMI ... #electrocardiogram ... #ecg #ekg
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Pattern STEMI ... descending (LAD) occlusion ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
RBBB normally has ... STEMI Criteria misses ... #Total #ECG #EKG ... #Electrocardiogram ... #Clinical #Cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
cognitively inspires EPs ... segment is the only ECG ... predictive of occlusion ... Differential #Algorithm #cardiology ... #occlusionMI #myocardial
Modified Sgarbossa Positive ECG Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... criteria in the ... 10 in lead V6 has ... #EKG #Electrocardiogram ... #Clinical #Cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... continues into tall, positive ... #Equivalents #ECG ... #differential #cardiology ... #electrocardiogram
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
you can see aVR has ... given anatomical position ... #EKG #diagram #Electrocardiogram ... #STEMI #Localization ... EmergencyMedicine #Cardiology
Endocarditis Summary Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV substance use • IV catheter • Recent
Blood cultures are positive ... due to vascular occlusion ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... or destructive lesion
Endocarditis - Overview and Differential Diagnosis Framework Who? Infectious: • Pre-existing valvular disease • Prosthetic valve • Congenital heart disease • IV
Blood cultures are positive ... cases Culture Positive ... due to vascular occlusion ... → TEE • Duke Criteria ... ↑ ESR, CRP • EKG
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