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cardiology diagnosis clinical ekg ecg electrocardiogram echocardiogram differential criteria management sgarbossa a4c hypokinesis modified rebelem stelevation acs anterior cardiac cathlab
LAD IWMI LAHB RAD [PHB RVH Lateral wall infarct Lead reversal Dextrocardia Wide ORS RBBB - terminal delay [BBB IVED WPW = delta wave Hyperkalemia Type l antiarrhythmic drugs Pacemaker ST elevation Early repolarization
LAD IWMI LAHB ... drugs Pacemaker ST ... Elevation AcutE STEMI ... R/S ratio Vi sI ... Nonconducted APC #LAD
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... have no pain - LAD ... avR - proximal LAD ... infarct, get a 15 lead ... in V1, unless LBBB
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker 1) Identify LBBB or
diagnosing MI in LBBB ... or Pacemaker LBBB ... Criteria - Suspect STEMI ... > 1 mm in any lead ... wave > 25% in any lead
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis • Lead V1 - LBBB Criteria •
Diagnosis • Lead ... V1 - LBBB Criteria ... • Lead V1 - RBBB ... aVR - Vereckie Algorithm ... #Algorithm #
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
with 100% Acute LAD ... Remember that RBBB ... normally has ST ... STEMI Criteria misses ... @EM_RESUS #LAD
LAD STEMI on with Anterior Hypokinesis POCUS Echocardiogram What's the diagnosis?? 63 year old with BP of
LAD STEMI on with ... Anterior Hypokinesis POCUS ... echo: proximal LAD ... STEMI. ... #Hypokinesis #POCUS
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 Proximal LAD STEMI with Anterior Wall Akinesis on POCUS If you have trouble appreciating regional wall motion
Proximal LAD STEMI ... Wall Akinesis on POCUS ... with a proximal LAD ... STEMI. ... #POCUS
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 Differential Diagnosis for ST Segment Elevations - ACUTE STEMI - PULMONARY EMBOLISM - LBBB
Diagnosis for ST ... Elevations - ACUTE STEMI ... EMBOLISM - LBBB ... #STElevation #STEMI
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
for diagnosing STEMI ... presence of a LBBB ... is concordant ST ... ≥ 1mm (in any lead ... Modified #Criteria #LBBB
LAD Coronary Artery Dissection on POCUS Severe CP x 1 hour, Ant/Sept STEMI on EKG. ED
LAD Coronary Artery ... Dissection on POCUS ... hour, Ant/Sept STEMI ... Cath LAD dissection ... Artery #Dissection #POCUS
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