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cardiology ecg electrocardiogram differential criteria modified occlusion pulmonary sgarbossa checklist clinical dewinters elevation emergency equivalent findings highrisk interpretation ischemia myocardialinfarction
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
Acute Occlusion ... meeting ST elevation ... MyocardialInfarction #OMI ... #STEMI #equivalent ... #diagnosis #cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
women • DDx: Acute ... Equivalents / Don't ... in V1, unless LBBB ... #EKG #diagnosis ... #Equivalents #Interpretation
Differential Diagnosis for ST Segment Elevations - ACUTE STEMI - PULMONARY EMBOLISM - LBBB
Differential Diagnosis ... for ST Segment ... Elevations - ACUTE ... EMBOLISM - LBBB ... #STSegment #STElevation
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STEMI: • Upsloping ... morphology similar to LBBB ... complex Pulmonary Embolism ... #ST #STEMI #Segment
ECG changes in Pulmonary Embolism - Sinus tachycardia - Complete or incomplete RBBB -
Embolism - Sinus ... or incomplete RBBB ... elevation and depression ... #AcutePE #HighRisk ... #Diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... deviation) • Acute ... #Equivalents #ECG ... #EKG #diagnosis
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Checklist for diagnosing ... MI in LBBB or Pacemaker ... Discordance" = ST ... Criteria - Suspect STEMI ... #Checklist #EKG
EKG in Acute Pulmonary Embolism The sensitivity and specificity for EKG findings in acute PE are low. EKG
EKG in Acute Pulmonary ... • Non-specific ST-T ... Changes • STE ... #Embolism #AcutePE ... #diagnosis #cardiology
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Sgarbossa Criteria for diagnosing ... STEMI in the presence ... of a LBBB If there ... elevation of greater ... > 0.25 S #Diagnosis
ECGofTheDay - What is the most likely diagnosis? What is this finding called? ... The combination of
the most likely diagnosis ... combination of ST ... Seen in 2% of acute ... be considered a STEMI ... equivalent. - Dr
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