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ecg electrocardiogram diagnosis clinical twaves criteria dewinter differential checklist elevation equivalents inferoposterior ischemia lad misread modified rocketshaped segment sgarbossa stelevation
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Pattern STEMI ... descending (LAD) occlusion ... 1) Upsloping ST ... precordial leads #DeWinter ... Electrocardiogram #Diagnosis #Cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
bigger than QRS - deWinter ... in V1, unless LBBB ... #EKG #diagnosis ... electrocardiogram #cardiology ... #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 ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... Electrocardiogram #Clinical #Cardiology
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
anterior descending occlusions ... before or after STEMI ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG ... Electrocardiogram #diagnosis #cardiology
ECGofTheDay - What is the most likely diagnosis? What is this finding called? ... The combination of
combination of ST ... occur with subtle STE ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #DeWinters
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Discordance" = ST ... Criteria - Suspect STEMI ... V1-V3 c) STE ... Diagnosis #Checklist #EKG ... #cardiology #lbbb
De Winter's T Waves Concerning for proximal LAD occlusion (Present in 2% of patients) • Upsloping ST-Depression
for proximal LAD occlusion ... • Upsloping ST-Depression ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
pain Computer interpretation ... : “Nonspecific ST ... pattern of Acute RCA Occlusion ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... morphology similar to LBBB ... #STEMI #Segment ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
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