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cardiology ecg diagnosis differential equivalents twaves im interpretation ischemia lad leftmain leftmainocclusion occlusion pericarditis sharkfin stelevation stelevations total
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
before or after STEMI ... - look for ST ... elevation in aVR ... waves - Upsloping ST ... segment - ST depression
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
- Upsloping ST ... - Absence of ST ... precordial leads - ST ... segment elevation ... #Clinical #Electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... • Reciprocal ST-segment ... Other Causes - STE ... #ST #STEMI #Segment ... #ekg #electrocardiogram
Note there is ST depression in aVR, a true sign of Left Main occlusion. Many
Note there is ST ... authors state that ST ... is a good ECG sign ... #Clinical #EM #IM ... #STElevations #STE
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
RBBB normally has ST ... So ANY ST Elevation ... an isolectric ST ... segment should ... #EKG #Electrocardiogram
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... of ST segment at ... transitioning in a convex ST-segment ... indistinguishable from ST-segment ... #EKG #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- J point STE > ... 0.5mm downgoing ST ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #electrocardiogram
Pericarditis on EKG Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
1 - Widespread ST ... depression; In aVR: ST ... Normalization Spodick's sign ... Downsloping TP segments ... #ECG #electrocardiogram
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