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differential algorithm management clinical causes cardiology pocus radiology pulmonary table comparison signs symptoms neurology pathophysiology classification peds ekg hematology ultrasound
Limb Lead Reversal In order to understand why the leads look the way they do, we must
As for the aVL/aVF ... remember that aVL ... /aVF/aVR are all ... should help: #Diagnosis ... #aVR #aVF
Left Ventricular Hypertrophy (LVH) Criteria • Sokolow + Lyon - S V1 + R V5 or
criteria - S V3 + R avl ... men - S V3 + R avl ... criteria - R avl ... EKG #Cardiology #Diagnosis
Left Anterior Fascicular Block on EKG • Left axis deviation (LAD) (-45 degrees to -90 degrees)
in leads I and aVL ... leads II, Ill, aVF ... Fascicular #Block #diagnosis
Normal Sinus Rhythm - ECG Diagnosis Normal sinus rhythm (NSR) is an impulse that originates in the
Sinus Rhythm - ECG Diagnosis ... leads I, II and aVF ... • inverted in aVR ... leads III and aVL ... nsr #cardiology #diagnosis
De Winter's T Waves Concerning for proximal LAD occlusion (Present in 2% of patients) • Upsloping ST-Depression
• STE in lead aVR ... ± aVL #DeWinters ... TWaves #EKG #ECG #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... , not in aVL • ... , not in aVL, when ... lateral leads (I, aVL ... #differential #diagnosis
Progression of EKG changes in Acute Coronary Syndrome (ACS) Hyperacute T waves: • Broad-based and symmetrical, usually
normally inverted in aVR ... In leads l, I, aVL ... , aVF, or V4-V6 ... #Progression #diagnosis
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
leads with STE in avR ... inversion - STE avR ... wave inversion in avL ... Ischemia #ECG #EKG #diagnosis
EKG Interpretation Cheat Sheet 1) Rate - Regular - Count-Off - Irregular - Count number
interval < 120 ms = AV ... Dominant R wave in aVR ... • Lateral (I + aVL ... leads except aVR ... Electrocardiogram #cardiology #diagnosis
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
ST elevation in aVR ... of the leads l, aVL ... Equivalents #ECG #EKG #diagnosis
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