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cardiology ecg electrocardiogram differential clinical dewinter equivalents twaves criteria embolism emergency findings highrisk interpretation ischemia ischemic lad modified occlusion patterns
Differential Diagnosis for ST Segment Elevations - ACUTE STEMI - PULMONARY EMBOLISM - LBBB
Differential Diagnosis ... for ST Segment ... Elevations - ACUTE ... EMBOLISM - LBBB ... #STElevation #STEMI
ST segment elevation in acute myocardial ischemia ST segment elevations with straight (horizontal, upsloping or downsloping) or
ST segment elevation ... in acute myocardial ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI ... #STElevation #Ischemic
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STEMI: • Upsloping ... morphology similar to LBBB ... blocking drugs #STElevation ... #ST #STEMI #Segment
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
patient with 100% Acute ... So ANY ST Elevation ... isolectric ST segment ... have ’relative elevation ... STEMI Criteria misses
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
before or after STEMI ... - look for ST elevation ... - Upsloping ST segment ... Team @FOAMfrat #DeWinter ... Electrocardiogram #diagnosis
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
Diagnostic Criteria ... - Upsloping ST segment ... Absence of ST elevation ... elevation (0.5mm ... aVR - “Normal” STEMI
ECG changes in Pulmonary Embolism - Sinus tachycardia - Complete or incomplete RBBB -
or incomplete RBBB ... Non-specific ST segment ... , including ST elevation ... Pulmonary #Embolism #AcutePE ... #Diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... with 1-2 mm ST elevation ... modified) - ST elevation ... deviation) • Acute ... #EKG #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... women • DDx: Acute ... bigger than QRS - deWinter ... in V1, unless LBBB ... #EKG #diagnosis
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
STEMI in the presence ... of a LBBB If there ... ST changes (ST segments ... discordant ST elevation ... > 0.25 S #Diagnosis
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