ECG video Blog

Описание: (NOTE: For a LINKED Contents — Click on "MORE" below!). This 22-minute ECG Video — reviews the ECG assessment of a patient with new chest pain. Along the way — I review STEMI criteria (which overlook 25-30% of acute coronary occlusions) — vs more efficient OMI (Occlusion-based MI) criteria. Other topics covered include use of the "Mirror Test" for diagnosis of Posterior OMI — DSI (Diffuse Subendocardial Ischemia) — and REVIEW of my Systematic Approach to 12-lead ECG Interpretation.

This case is based on ECG Blog #351 (https://tinyurl.com/KG-Blog-351 ) — which will contain a detailed verbal description of the case.

LINKED Contents to this VIDEO:
0:00 — Introduction
0:45 — Presentation of the Case (from Blog #351)
1:45 — The STEMI Paradigm (What is a STEMI?)
3:08 — The "OMI" Paradigm
4:22 — Pathophysiology of Acute MI
4:37 — Spontaneous Reperfusion of the "culprit" vessel
5:29 — You CAN recognize OMI without STEMI! (ie, ECG findings)
6:46 — What is a "hyperacute" T wave?
8:34 — Systematic Approach to 12-Lead ECG Interpretation
10:15 — If the QRS is Wide — Find out WHY the QRS is Wide BEFORE going further!
11:02 — Looking for Q-R-S-T Changes in the Systematic Approach
11:43 — Applying the Systematic Approach to Today's Case
13:09 — Q-R-S-T Changes in Today's ECG
15:09 — The "Mirror Test" (Looking for Posterior OMI)
16:48 — DSI ( = Diffuse Subendocardial Ischemia)
17:55 — The Follow-Up ECG (with V4R, V8, V9)
18:48 — Comparing Serial ECGs in Today's Case
19:33 — Putting this Case Together ("dynamic" change - OMI Dx)
21:07 — Follow-Up of Today's Case