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cardiology ecg diagnosis differential clinical equivalents twaves interpretation ischemia leftmain leftmainocclusion sharkfin stelevation stelevations
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 ... aVR - “Normal” STEMI
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
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
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
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