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ekg clinical diagnosis electrocardiogram criteria twaves catheterization dewinter differential modified sgarbossa algorithm artery checklist coronary fluoroscopy inferior ischemia lbbb management
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
Acute Occlusion ... meeting ST elevation ... @jonnywatt #Occlusion ... #STEMI #equivalent ... #diagnosis #cardiology
ST Elevation MI Criteria #Diagnosis #Cardiology #ECG #EKG #STEMI #STElevationMI #Criteria #FOAMCast
ST Elevation MI ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI ... #STElevationMI
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
with 100% Acute LAD ... Occlusion Remember ... So ANY ST Elevation ... STEMI Criteria misses ... #Clinical #Cardiology
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Pattern STEMI ... anterior descending (LAD ... ) occlusion ... elevation in aVR ... #Diagnosis #Cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI ... believe that the ST ... segment is the only ECG ... EMNews #ACS #OMI ... #Algorithm #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-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
- Anterior OMI ... anterior descending occlusions ... before or after STEMI ... elevation in aVR ... #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
High Lateral STEMI - D1 of LAD There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... & OM1 of Circumflex ... similar but this ST ... 100% proximal occlusion ... #Cardiology #Clinical
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- Ischemia MI ... have no pain - LAD ... avR - proximal LAD ... early inferior MI ... electrocardiogram #cardiology
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