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ekg clinical diagnosis electrocardiogram dewinter inferior twaves algorithm anesthesia anesthesiology angiogram artery biopsy cardiogenic checklist coronary criteria dcsi detroit equivalent
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
Note there is ST depression in aVR, a true sign of Left Main occlusion. Many
sign of Left Main occlusion ... is a good ECG sign ... #Clinical #EM #IM ... #Cardiology #EKG ... #STElevations #
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Pattern STEMI ... descending (LAD) occlusion ... elevation in aVR ... DeWinter #TWaves #ECG ... #Diagnosis #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
100% Acute LAD Occlusion ... So ANY ST Elevation ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... Electrocardiogram #Clinical #Cardiology
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
anterior descending occlusions ... before or after STEMI ... elevation in aVR ... #ECG #Electrocardiogram ... #diagnosis #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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 Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
is additional ST ... elevation in lateral ... diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
There is inferior ST elevation with reciprocal ST depression in aVL and in lead I,
elevation with ... suggestive of STEMI ... elevation in V1 ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM INCLUSION ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... DCSI #Initiative #Management ... #Cardiology
Myocarditis 5 Principles of Myocarditis: 1. Build clinical suspicion 2. Decide on EMBx 3. Manage acute cardiac injury 4. Manage chronic
Manage acute cardiac ... Manage chronic cardiac ... elevation), Low ... Myocarditis #diagnosis #management ... #cardiology #summary
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