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cardiology ecg electrocardiogram dewinter twaves criteria differential occlusion em equivalents inferior inferolateral interpretation ischemia lad lateral modified rocketshaped segment sgarbossa
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Pattern STEMI ... ) Upsloping ST elevation ... precordial leads #DeWinter ... #TWaves #ECG #EKG ... Electrocardiogram #Diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
of ST Segment Elevation ... - Differential Diagnosis ... Framework STEMI ... morphology similar to LBBB ... blocking drugs #STElevation
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
So ANY ST Elevation ... have ’relative elevation ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
before or after STEMI ... - look for ST elevation ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG ... Electrocardiogram #diagnosis
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
Diagnostic Criteria ... Absence of ST elevation ... - ST segment elevation ... aVR - “Normal” STEMI ... #Clinical #Electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... bigger than QRS - deWinter ... in V1, unless LBBB ... #Ischemia #ECG ... #EKG #diagnosis
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Sgarbossa Criteria for diagnosing ... STEMI in the presence ... of a LBBB If there ... discordant ST elevation ... > 0.25 S #Diagnosis
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
additional ST elevation ... lateral leads, also diagnostic ... of STEMI. ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
ECGofTheDay - What is the most likely diagnosis? What is this finding called? ... The combination of
the most likely diagnosis ... be considered a STEMI ... MusaSharkawi #Clinical ... #Cardiology #EKG ... #ECG #DeWinters
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