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cardiology ecg diagnosis clinical dewinter differential twaves occlusion criteria equivalent highrisk im interpretation ischemia lad leftmain leftmainocclusion myocardialinfarction omi pericarditis
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation #Diagnosis #Cardiology #ECG
The electrocardiogram ... anatomically oriented ST-segment ... elevation #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #Equivalents
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... of ST segment at ... transitioning in a convex ST-segment ... indistinguishable from ST-segment ... #Equivalents #ECG
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... • Reciprocal ST-segment ... Cardiomyopathy: • STE ... #ST #STEMI #Segment ... #ekg #electrocardiogram
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Pattern STEMI ... Equivalent - Left ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... #EKG #Electrocardiogram
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
without meeting ST ... elevation criteria ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #cardiology #electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
0.5mm downgoing ST ... Miss Signs of Ischemia ... line; upsloping ST ... #EKG #diagnosis ... #electrocardiogram
Note there is ST depression in aVR, a true sign of Left Main occlusion. Many
Note there is ST ... authors state that ST ... elevation in aVR ... is a good ECG sign ... #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
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
- look for ST ... elevation in aVR ... waves - Upsloping ST ... segment - ST depression ... #ECG #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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