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diagnosis ecg electrocardiogram differential clinical occlusion criteria equivalents modified sgarbossa checklist dewinters elevation embolism emergency equivalent inferoposterior interpretation ischemia ischemic
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
patient with 100% Acute ... Remember that RBBB ... So ANY ST Elevation ... STEMI Criteria misses ... #Clinical #Cardiology
Differential Diagnosis for ST Segment Elevations - ACUTE STEMI - PULMONARY EMBOLISM - LBBB
Elevations - ACUTE ... STEMI - PULMONARY ... EMBOLISM - LBBB ... #STSegment #STElevation ... #Diagnosis #Cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... women • DDx: Acute ... in V1, unless LBBB ... #EKG #diagnosis ... electrocardiogram #cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
Acute Occlusion ... without meeting ST elevation ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology ... #ekg
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Criteria - Suspect STEMI ... a) Concordant STE ... V1-V3 c) STE ... Diagnosis #Checklist #EKG ... #cardiology #lbbb
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... morphology similar to LBBB ... blocking drugs #STElevation ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... findings in acute ... Incomplete or Complete RBBB ... ST-T Changes • STE ... #diagnosis #cardiology
ST segment elevation in acute myocardial ischemia ST segment elevations with straight (horizontal, upsloping or downsloping) or
in acute myocardial ... strongly suggest acute ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI ... #STElevation #Ischemic
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... deviation) • Acute ... #EKG #diagnosis ... #differential #cardiology
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
for diagnosing STEMI ... presence of a LBBB ... discordant ST elevation ... S #Diagnosis #Cardiology ... Modified #Criteria #LBBB
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