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cardiology diagnosis electrocardiogram omi acs cardiogenic clinical coronary dcsi detroit equivalent evaluation infarction inferoposterior initiative interpretation management misread myocardial myocardialinfarction
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
3 ECG patterns for ... elevation criteria • Posterior ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #ecg #ekg
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
= Biomarkers + ECG ... depression in VI-V2 - posterior ... #ECG #EKG #diagnosis ... #STEMI #Equivalents ... Interpretation #differential
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... on ECG • Conventional ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
ECG of a 55-year-old man who presented to the ER with chest pain Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Recognize this #ECG ... STD in V2 (posterior ... InferoPosterior transmural ischemia ... #EKG #STEMI #InferoPosterior
Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
- Differential ... Algorithm The ... segment is the only ECG ... #Differential # ... Algorithm #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Infarction  Ischemic ... Symptoms  EKG ... evidence of AMI (STEMI ... Cardiogenic #Shock #Algorithm
Preoperative Risk Evaluation Major Pre-Op Questions: 1. Does the patient have any modifiable risk factors that could be
Highest metabolic equivalent ... history of: a) Ischemic ... event, follow ACC algorithm ... indicated • EKG ... Obtain EKG if:
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