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cardiology ecg electrocardiogram dewinter differential twaves criteria equivalents clinical interpretation ischemic modified patterns segment sgarbossa st
ST segment elevation in acute myocardial ischemia ST segment elevations with straight (horizontal, upsloping or downsloping) or
ST segment elevation ... ST segment elevations ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI ... #STElevation #Ischemic
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
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Miss Signs of Ischemia ... bigger than QRS - deWinter ... in V1, unless LBBB ... #ECG #EKG #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
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 ... pattern #DeWinter
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... with 1-2 mm ST elevation ... deviation) • Acute ischemia ... in LVH - ST elevation ... #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
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