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ekg diagnosis clinical electrocardiogram criteria differential modified sgarbossa dewinter algorithm checklist coronary equivalents im inferior ischemia lad lbbb management pericarditis
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
Acute Occlusion ... meeting ST elevation ... • Hyperacute T Waves ... #STEMI #equivalent ... #diagnosis #cardiology
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
ECG Pattern STEMI ... descending (LAD) occlusion ... elevation in aVR ... #DeWinter #TWaves ... #Diagnosis #Cardiology
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
OMI - 2% of left ... anterior descending occlusions ... before or after STEMI ... elevation in aVR ... #diagnosis #cardiology
ST Elevation MI Criteria #Diagnosis #Cardiology #ECG #EKG #STEMI #STElevationMI #Criteria #FOAMCast
ST Elevation MI ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI ... #STElevationMI
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 #
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
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
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... - Ischemia MI ... = Biomarkers + ECG ... early inferior MI ... electrocardiogram #cardiology
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... Elevation of PR ... patients) stage 4 - ECG ... inverted #Diagnosis #EM ... #IM #Cardiology
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