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cardiology ecg ekg electrocardiogram equivalents a4c acutemi clinical complications constrictive echocardiogram elevation encephalopathy infarction interpretation ischemia myocardial neurology pericarditis pocus
Mechanical Complications in Acute Myocardial Infarction Acute LV/RV Dysfunction: • Regional wall motion, systolic and diastolic function,
• Typically anterior ... anteroapical (anterior ... poor prognostic signs ... papillary muscle (inferior ... most commonly inferior
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
A - Biphasic anterior ... Deeply inverted anterior ... asymmetrical, broad-based anterior ... inversions in the anterior ... #differential #
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... Equivalents / Don't Miss Signs ... in avL - early inferior ... Ischemia #ECG #EKG #diagnosis ... Interpretation #differential
Constrictive Pericarditis on Echocardiogram A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
ASA, Kussmaul's sign ... circumferential pericardial effusion ... (A) a dilated inferior ... expiration not meeting diagnostic ... Echocardiogram #a4c #pocus
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 Causes of ST Segment Elevation - Differential Diagnosis Framework STEMI: • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework ... STEMI: • Upsloping ... STE: "Pardee's sign ... anteroseptal and inferior
Posterior Reversible Encephalopathy Syndrome (PRES) Overview Clinico-Radiological Syndrome, characterized by: • Headache • Seizures • Altered mental
bone marrow or stem ... on MRA/CTA • Anterior ... Reversible course Differential ... Diagnosis: • ... #management #neurology
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