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ekg electrocardiogram diagnosis clinical twaves algorithm angiogram artery cardiogenic catheterization coronary dcsi detroit dewinters differential equivalent equivalents fluoroscopy indications initiative
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... descending (LAD) occlusion ... precordial leads #DeWinter ... Electrocardiogram #Diagnosis #Cardiology ... #Criteria
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
anterior descending occlusions ... before or after STEMI ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG ... Electrocardiogram #diagnosis #cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
Acute Occlusion ... without meeting ST ... elevation criteria ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
Here’s an ECG of ... 100% Acute LAD Occlusion ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... Electrocardiogram #Clinical #Cardiology
ECGofTheDay - What is the most likely diagnosis? What is this finding called? ... The combination of
combination of ST ... ECG pattern. ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #DeWinters
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... low (1-2) risk, +ECG ... #Inpatient #CathLab ... #Indications #Cardiac ... catheterization #cardiology
Left Main Coronary Artery Thrombus seen on Angiography “Mother of all coronary thrombi”. 55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... predicted Left main occlusion ... LMCA #Angiogram #CathLab ... #clinical #cardiology
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 STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... • Sgarbossa criterion ... #Equivalents #ECG ... #differential #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM INCLUSION ... CRITERIA Acute ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Initiative #Management #Cardiology
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