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ecg electrocardiogram cardiology dewinter differential twaves acutepe clinical criteria embolism equivalents highrisk interpretation ischemia modified predictive pulmonary s1q3t3 sgarbossa st
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Elevation - Differential ... Diagnosis Framework ... morphology similar to LBBB ... blocking drugs #STElevation ... #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
ECG changes in Pulmonary Embolism - Sinus tachycardia - Complete or incomplete RBBB -
or incomplete RBBB ... Non-specific ST segment ... , including ST elevation ... #EKG #Findings ... #Diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... echo/angiogram findings ... 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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