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cardiology ecg electrocardiogram dewinter differential twaves criteria clinical highrisk interpretation ischemia modified sgarbossa st
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation #Diagnosis #Cardiology #ECG
anatomically oriented ST-segment ... elevation #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #Equivalents
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Pattern STEMI ... Equivalent - Left ... ) Upsloping ST elevation ... precordial leads #DeWinter ... Electrocardiogram #Diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Elevation - Differential ... Diagnosis Framework ... STEMI: • Upsloping ... morphology similar to LBBB ... #ST #STEMI #Segment
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
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... with 1-2 mm ST elevation ... #Equivalents #ECG ... #EKG #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Equivalents / Don't ... bigger than QRS - deWinter ... in V1, unless LBBB ... #EKG #diagnosis ... #Equivalents #Interpretation
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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