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cardiology ecg electrocardiogram criteria differential clinical equivalents modified sgarbossa checklist elevation interpretation ischemia occlusion stelevation stwaves
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
De Winter T-Waves ... before or after STEMI ... segment - ST depression ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... precordial leads #DeWinter ... #TWaves #ECG #EKG ... Electrocardiogram #Diagnosis
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... on ECG Diagnostic ... or follow the deWinter ... pattern #DeWinter ... #TWaves #ECG #EKG
ECGofTheDay - What is the most likely diagnosis? What is this finding called? ... The combination of
the most likely diagnosis ... combination of ST ... be considered a STEMI ... #ECG #DeWinters ... #RocketShaped
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
0.5mm downgoing ST ... bigger than QRS - deWinter ... line; upsloping ST ... in V1, unless LBBB ... #EKG #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... morphology similar to LBBB ... #STEMI #Segment ... #ekg #electrocardiogram
De Winter's T Waves Concerning for proximal LAD occlusion (Present in 2% of patients) • Upsloping ST-Depression
• Upsloping ST-Depression ... V1-V4 without STE ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Sgarbossa Criteria - Diagnostic ... Checklist for diagnosing ... Discordance" = ST ... Criteria - Suspect STEMI ... #Checklist #EKG
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
of ST segment at ... J point • De Winter ... transitioning in a convex ST-segment ... from ST-segment ... #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 ... changes (ST segments ... amplitude of the S wave ... > 0.25 S #Diagnosis
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