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cardiology diagnosis clinical ecg electrocardiogram differential echocardiogram plax pocus criteria equivalents lbbb modified sgarbossa typea a4c aorta checklist coronary doublevalve
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
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 ... #Dissection #Aorta
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 Note there is ST depression in aVR, a true sign of Left Main occlusion. Many
in aVR, a true sign ... state that ST elevation ... sign of left main ... IM #Cardiology #EKG ... #STElevations #STE
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... : "Pardee's sign ... Post-cardioversion • Acute aortic ... dissection • ... #ekg #electrocardiogram
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram STEMI on EKG: check the echo!
Double Valve Sign ... - Type A Aortic ... Dissection on POCUS ... Echocardiogram STEMI ... on EKG: check the
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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
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
Coronary Ostium Obstruction by Aortic Intimal Flap on Echocardiogram Aortic intimal flap may alternately obstruct right and
Obstruction by Aortic ... Echocardiogram Aortic ... to transient ST elevations ... in different ECG ... Intimal #Flap #dissection
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 Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
for diagnosing STEMI ... segments in the same direction ... discordant ST elevation ... A: Concordant STE ... C: Discordant STE
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