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ecg electrocardiogram dewinter differential criteria checklist clinical equivalents ischemia modified occlusion sgarbossa acutepe embolism equivalent foamcast hyperacutet interpretation ischemic myocardialinfarction
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... ) Upsloping ST elevation ... #TWaves #ECG #EKG ... Electrocardiogram #Diagnosis ... #Cardiology #Criteria
Patterns of Ischemia T-Waves on ECG However, there are more kinds of ischemia than just STEMI and
ischemia than just STEMI ... #Diagnosis #Cardiology ... #ECG #EKG #NSTEMI ... Ischemic #Ischemia #TWaves ... #DeWinter #Wellens
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 ... #cardiology
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 ... #EKG #diagnosis ... electrocardiogram #cardiology
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 ... #Checklist #EKG ... #cardiology #lbbb
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... morphology similar to LBBB ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
on ECG Diagnostic ... Absence of ST elevation ... aVR - “Normal” STEMI ... pattern #DeWinter ... #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 ... #cardiology #electrocardiogram
De Winter's T Waves Concerning for proximal LAD occlusion (Present in 2% of patients) • Upsloping ST-Depression
V1-V4 without STE ... leads V1-V4 • STE ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... aVR • Posterior STEMI ... #EKG #diagnosis ... #differential #cardiology
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