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cardiology ecg diagnosis electrocardiogram clinical differential checklist criteria ischemia modified occlusion sgarbossa stelevation acutepericarditis acutestemi algorithm brugadasyndrome cardiogenic dcsi detroit
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
women • DDx: Acute ... have no pain - LAD ... avR - proximal LAD ... in V1, unless LBBB ... #EKG #diagnosis
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Criteria - Suspect STEMI ... a) Concordant STE ... > 1 mm in any lead ... V1-V3 c) STE ... Diagnosis #Checklist #EKG
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
patient with 100% Acute ... LAD Occlusion ... Remember that RBBB ... STEMI Criteria misses ... #EKG #Electrocardiogram
LAD IWMI LAHB RAD [PHB RVH Lateral wall infarct Lead reversal Dextrocardia Wide ORS RBBB - terminal delay [BBB IVED WPW = delta wave Hyperkalemia Type l antiarrhythmic drugs Pacemaker ST elevation Early repolarization
LAD IWMI LAHB ... repolarization Diffuse ST Acute ... pericarditis Elevation AcutE ... STEMI Variant ... Nonconducted APC #LAD
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 ... #Embolism #AcutePE
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... lead placement ... morphology similar to LBBB ... weeks following an acute ... STElevation #ST #STEMI
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
Brugada 1 - Coved STE ... HOCM- dagger Q lat ... inf leads, LVH, LAE ... (<360ms) PE: RBBB ... #EKG #Checklist
ECGofTheDay - What is the most likely diagnosis? What is this finding called? ... The combination of
occur with subtle STE ... Seen in 2% of acute ... LAD occlusion. ... be considered a STEMI ... Clinical #Cardiology #EKG
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
ECG of a 55-year-old ... STE in II, III, ... classic pattern of Acute ... Clinical #Cardiology #EKG ... #STEMI #InferoPosterior
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
for diagnosing STEMI ... presence of a LBBB ... A: Concordant STE ... ≥ 1mm (in any lead ... Modified #Criteria #LBBB
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