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ekg electrocardiogram diagnosis differential catheterization fluoroscopy criteria dewinter im modified occlusion sgarbossa wraparound checklist equivalents hyperkalemia inferior ischemia lbbb management
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... elevation in aVR ... #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
on EKG - Anterior ... before or after STEMI ... elevation in aVR ... #EKG #ECG #Electrocardiogram ... #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 ... with 100% Acute LAD ... So ANY ST Elevation ... STEMI Criteria misses ... #Clinical #Cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
without meeting ST ... elevation criteria ... • Hyperacute T Waves ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology
Inpatient Cath Lab Indications Cath Lab ASAP: STEMI NSTEMI: 1. Unstable/cardiogenic shock 2. Severe LV dysfunction or 3. Recurrent/persistent rest angina despite
ASAP: STEMI NSTEMI ... low (1-2) risk, +ECG ... #Inpatient #CathLab ... #Indications #Cardiac ... catheterization #cardiology
Lead AVR on ECG 1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... anterior descending (LAD ... prominent terminal R wave ... supraventricular tachycardia (SVT ... #differential #cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... have no pain - LAD ... avR - proximal LAD ... electrocardiogram #cardiology
Note there is ST depression in aVR, a true sign of Left Main occlusion. Many
Note there is ST ... is a good ECG sign ... #Clinical #EM #IM ... #Cardiology #EKG ... #STElevations #
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... on ECG • Conventional ... STEMI - Elevation ... #Equivalents #ECG ... #differential #cardiology
There is inferior ST elevation with reciprocal ST depression in aVL and in lead I,
elevation with ... in aVL and in lead ... conduction delay (R'-wave ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
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