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ecg cardiology electrocardiogram criteria dewinter differential clinical equivalents modified occlusion sgarbossa acutepe checklist embolism equivalent findings highrisk interpretation ischemia myocardialinfarction
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... ) Upsloping ST elevation ... precordial leads #DeWinter ... #TWaves #ECG #EKG ... Electrocardiogram #Diagnosis
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
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 Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
on ECG Diagnostic ... Absence of ST elevation ... - ST segment elevation ... aVR - “Normal” STEMI ... #TWaves #ECG #EKG
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
without meeting ST elevation ... • Hyperacute T Waves ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #ekg
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... bigger than QRS - deWinter ... in V1, unless LBBB ... #Ischemia #ECG ... #EKG #diagnosis
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Sgarbossa Criteria - Diagnostic ... Checklist for diagnosing ... Criteria - Suspect STEMI ... V1-V3 c) STE ... #Checklist #EKG
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... with 1-2 mm ST elevation ... criterion 1 - ST elevation ... modified) - ST elevation ... #EKG #diagnosis
ECG changes in Pulmonary Embolism - Sinus tachycardia - Complete or incomplete RBBB -
or incomplete RBBB ... - Dominant R wave ... , including ST elevation ... #EKG #Findings ... #Diagnosis
ECGofTheDay - What is the most likely diagnosis? What is this finding called? ... The combination of
the most likely diagnosis ... occur with subtle STE ... be considered a STEMI ... Clinical #Cardiology #EKG ... #ECG #DeWinters
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