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cardiology ecg electrocardiogram dewinter differential twaves clinical equivalents modified occlusion sgarbossa checklist equivalent foamcast interpretation ischemia lad myocardialinfarction omi segment
ST Elevation MI Criteria #Diagnosis #Cardiology #ECG #EKG #STEMI #STElevationMI #Criteria #FOAMCast
ST Elevation MI ... Criteria #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #STElevationMI ... #Criteria #FOAMCast
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Pattern STEMI ... ) Upsloping ST elevation ... precordial leads #DeWinter ... Electrocardiogram #Diagnosis ... #Cardiology #Criteria
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
Remember that RBBB ... So ANY ST Elevation ... have ’relative elevation ... STEMI Criteria misses ... #EKG #Electrocardiogram
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
without meeting ST elevation ... criteria • Posterior ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #ekg
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 ... #ecg #ekg #electrocardiogram
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 ... pattern #DeWinter
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Modified Sgarbossa Criteria ... - Diagnostic Checklist ... for diagnosing ... - Suspect STEMI ... #Checklist #EKG
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
Winter T-Waves on EKG ... before or after STEMI ... - look for ST elevation ... Team @FOAMfrat #DeWinter ... Electrocardiogram #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... bigger than QRS - deWinter ... in V1, unless LBBB ... #EKG #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... with 1-2 mm ST elevation ... 1 - ST elevation ... modified) - ST elevation ... #EKG #diagnosis
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