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cardiology diagnosis clinical ecg differential electrocardiogram echocardiogram pocus aortic criteria equivalents ischemia lbbb modified neurology plax sgarbossa typea algorithm aorta
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... , Aortic dissection ... Equivalents / Don't Miss Signs ... #EKG #diagnosis
LAD Coronary Artery Dissection on POCUS Severe CP x 1 hour, Ant/Sept STEMI on EKG. ED
Coronary Artery Dissection ... hour, Ant/Sept STEMI ... on EKG. ... Cath LAD dissection ... Coronary #Artery #Dissection
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 Note there is ST depression in aVR, a true sign of Left Main occlusion. Many
in aVR, a true sign ... aVR is a good ECG ... sign of left main ... IM #Cardiology #EKG ... #STElevations #STE
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
waves in opposite direction ... Criteria - Suspect STEMI ... a) Concordant STE ... V1-V3 c) STE ... Diagnosis #Checklist #EKG
TypeA Aortic Dissection on POCUS Echocardiogram 80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
TypeA Aortic Dissection ... EKG: afib, twi I ... rwp with 1-2mm ste ... for this Type A Dissection ... TypeA #Aortic #Dissection
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 Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram STEMI on EKG: check the echo!
Double Valve Sign ... Type A Aortic Dissection ... Echocardiogram STEMI ... on EKG: check the ... #DoubleValve #Sign
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 STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... : "Pardee's sign ... (Eiffel Tower sign ... • Acute aortic dissection ... #ekg #electrocardiogram
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Recognize this #ECG ... STE in II, III, ... Clinical #Cardiology #EKG ... #STEMI #InferoPosterior
Approach to Headaches - Differential Diagnosis Algorithm Red flags (PHANTOMS): • Pattern change, progressively worse, papilledema •
• Meningeal signs ... Systemic symptoms and signs ... (e.g., fever, myalgia ... Stroke, carotid dissection ... CNS infection (e.g
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