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ecg electrocardiogram differential occlusion stelevation clinical criteria equivalents modified sgarbossa checklist dewinters emergency equivalent findings highrisk interpretation ischemia ischemic lad
Differential Diagnosis for ST Segment Elevations - ACUTE STEMI - PULMONARY EMBOLISM - LBBB
for ST Segment ... Elevations - ACUTE ... STEMI - PULMONARY ... EMBOLISM - LBBB ... #Diagnosis #Cardiology
ECG changes in Pulmonary Embolism - Sinus tachycardia - Complete or incomplete RBBB -
ECG changes in Pulmonary ... elevation and depression ... #Embolism #AcutePE ... #EKG #Findings ... #Diagnosis
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
patient with 100% Acute ... Remember that RBBB ... So ANY ST Elevation ... STEMI Criteria misses ... #Clinical #Cardiology
ST segment elevation in acute myocardial ischemia ST segment elevations with straight (horizontal, upsloping or downsloping) or
ST segment elevation ... in acute myocardial ... strongly suggest acute ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
morphology similar to LBBB ... QRS complex Pulmonary ... Embolism: • T-wave ... #ST #STEMI #Segment ... #diagnosis #cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
Acute Occlusion ... without meeting ST ... elevation criteria ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis
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 ... #EKG #Pulmonary ... #Embolism #AcutePE ... #diagnosis #cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
women • DDx: Acute ... 0.5mm downgoing ST ... in V1, unless LBBB ... #EKG #diagnosis ... electrocardiogram #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Checklist for diagnosing ... Discordance" = ST ... Criteria - Suspect STEMI ... #Checklist #EKG ... #cardiology #lbbb
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... deviation) • Acute ... #EKG #diagnosis ... #differential #cardiology
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