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cardiology diagnosis ekg ecg electrocardiogram differential modified clinical equivalents acs algorithm aliem checklist coronary deltawave elevation em infarction interpretation ischemia
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
Modified Sgarbossa ... Discordance" = ST ... STEMI if any of ... Diagnosis #Checklist #EKG ... #cardiology #lbbb
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
point • De Winter syndrome ... criterion 1 - ST ... criterion 2 - ST ... • Sgarbossa criterion ... #EKG #diagnosis
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
Remember that RBBB ... normally has ST ... an isolectric ST ... STEMI Criteria misses ... #Clinical #Cardiology
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa ... STEMI in the presence ... is concordant ST ... S #Diagnosis #Cardiology ... #Criteria #LBBB
Modified Sgarbossa Positive ECG Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... criteria in the ... This ECG is unique ... in lead V6 has ST ... #Clinical #Cardiology
The modified Sgarbossa Rule uses proportions to identify acute AMI in the setting of ST-elevations in
The modified Sgarbossa ... in LBBB - Ratio ... S-wave < -0.25 is ... Diagnosis #EM #Cardiology ... #Criteria #ALiEM
What is the new modified Sgarbossa Criteria? - Concordant ST-segment elevation ≥ 1 mm in any lead -
What is the new ... modified Sgarbossa ... Criteria? ... 0.25 #Diagnosis #Cardiology ... #STSRatio #LBBB
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
0.5mm downgoing ST ... V1 - normal T is ... in V1, unless LBBB ... #EKG #diagnosis ... electrocardiogram #cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
believe that the ST ... segment is the ... only ECG finding ... Differential #Algorithm #cardiology ... diagnosis #coronary #syndrome
Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... morphology similar to LBBB ... #STEMI #Segment ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
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