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The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
The electrocardiogram ... in the ACS patient ... : high-risk electrocardiographic ... oriented ST-segment elevation ... #ECG #EKG #STEMI
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... artery (LMCA). left anterior ... aVR • Classic EKG ... #AVR #leadAVR #ecg ... #diagnosis #ekg
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... of the leads l, aVL ... #Equivalents #ECG ... #EKG #diagnosis ... #electrocardiogram
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... junction origin (e.g ... within the atria (e.g ... @AmyChung #EKG ... Interpretation #ECG
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
anteroseptal and inferior ... Osborne waves - Short ... inverted T waves • Short ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
TiMi and GRACE Risk scores for mortality in Acute Coronary Syndrome (ACS). 

Abbreviations: ACS, acute coronary
TiMi and GRACE Risk ... Cr, creatinine; ECG ... , electrocardiogram ... #Diagnosis #Cardiology ... #Risk #Scores #
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... - early inferior ... #Ischemia #ECG ... #EKG #diagnosis ... #electrocardiogram
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
indicated • EKG ... Obtain EKG if: ... Intraabdominal - Orthopedic ... one post op Cardiology ... Chest X-ray:
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
(electrocardiogram ... coved ST-segment elevation ... associated with a high risk ... • Risk stratification ... #cardiology #differential