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cardiology ekg ecg electrocardiogram clinical differential anterior criteria dewinters equivalents fibrillation ultrasound ventricular vfib block definitions dewinter elevation em embolism
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... ST elevation in aVR ... #DeWinter #TWaves ... #Diagnosis #Cardiology
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI 1 STABLE ANGINA - Angina
Coronary Syndrome (ACS ... #Diagnosis #Cardiology ... #ACS #Unstable ... #Angina #NSTEMI ... Text: The Only EKG
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... anterior descending (LAD ... ST elevation in ACS ... includes ACS vs ... instead of ACS.
De Winter's T Waves Concerning for proximal LAD occlusion (Present in 2% of patients) • Upsloping ST-Depression
Concerning for proximal LAD ... -V4 • STE in lead ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
leads with STE in avR ... have no pain - LAD ... inversion - STE avR ... inversion in avL ... #EKG #diagnosis
Left Anterior Fascicular Block on EKG • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Fascicular Block on EKG ... axis deviation (LAD ... in leads I and aVL ... Fascicular #Block #diagnosis ... #cardiology #EKG
Normal Sinus Rhythm - ECG Diagnosis Normal sinus rhythm (NSR) is an impulse that originates in the
recognized by the P wave ... • inverted in aVR ... leads III and aVL ... leads V4-V6 (in 12-lead ... #diagnosis #ekg
Vasospastic (Prinzmetal) Angina Definition / Epidemiology: • Rest angina attributed to coronary artery vasospasm. • Patients often
younger than other ACS ... troponin elevation Diagnosis ... changes on tele/ECG ... tests in cath lab ... #cardiology #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
, not in aVL • ... , not in aVL, when ... lateral leads (I, aVL ... Prinzmetal's Angina ... #cardiology #ecg
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... ST elevation in aVR ... of the leads l, aVL ... #EKG #diagnosis ... #differential #cardiology
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