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cardiology ecg diagnosis clinical differential equivalents dewinter stelevation twaves echocardiogram emergency highrisk im interpretation ischemic lad leftmain leftmainocclusion occlusion patterns
ST segment elevation in acute myocardial ischemia ST segment elevations with straight (horizontal, upsloping or downsloping) or
ST segment elevation ... ST segment elevations ... Concave ST segment ... Concave ST segment ... #EKG #STEMI #STElevation
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
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
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 ... in LVH - ST elevation
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
0.5mm downgoing ST ... Equivalents / Don't Miss Signs ... line; upsloping ST ... - R/S >1 or ST ... #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
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 ... #EKG #Clinical
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