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cardiology ecg electrocardiogram diagnosis clinical criteria dewinter differential modified sgarbossa twaves checklist circumflex dewinters em equivalent equivalents im inferoposterior interpretation
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
100% Acute LAD Occlusion ... Remember that RBBB ... So ANY ST Elevation ... have ’relative elevation ... STEMI Criteria misses
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
Acute Occlusion ... without meeting ST elevation ... @jonnywatt #Occlusion ... MyocardialInfarction #OMI #STEMI ... #ekg
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... descending (LAD) occlusion ... ) Upsloping ST elevation ... #EKG #Electrocardiogram
Note there is ST depression in aVR, a true sign of Left Main occlusion. Many
sign of Left Main occlusion ... state that ST elevation ... sign of left main occlusion ... IM #Cardiology #EKG ... #STElevations #STE
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... morphology similar to LBBB ... #ST #STEMI #Segment ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Criteria - Suspect STEMI ... a) Concordant STE ... V1-V3 c) STE ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... big R or R/S>I STEMI ... in V1, unless LBBB ... #Ischemia #ECG ... #EKG #diagnosis
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
Winter T-Waves on EKG ... anterior descending occlusions ... before or after STEMI ... - look for ST elevation ... DeWinter #TWaves #EKG
Mid Left Circumflex STEMI on ECG This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... hour had a 100% occlusion ... how subtle an EKG ... can look in occlusion ... ST elevations in
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
ECG of a 55-year-old ... STE in II, III, ... pattern of Acute RCA Occlusion ... Clinical #Cardiology #EKG ... #STEMI #InferoPosterior
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