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What is the underlying rhythm?Any Imitators? (LBB, Pacer, LVH) if yes = STOP!Look at each pattern systematically:
! ST elevation (1mm or more) = INFARCT! ST depression (1mm or more) = ISCHEMIA! Inverted T waves = ISCHEMIA! Pathologic Q waves (1mm wide or more) = OLD
Need changes in two or more leads in a patternWhich pattern or patterns are involved?Localize the Coronary Artery (LCA or RCA?)
MOST COMMON IMITATORS COMBINATION PATTERNS
Pacemaker AnteroseptalLeft Ventricular Hypertrophy Anterolateral
Ventricular Rhythms Inferolateral
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Ventricular Rhythms Inferolateral
"# $%&' ()*
+, ,-./&/012
!"#" %&'() *+#,&- ."-"/+0,1
."-"/+0,1 2-",#,#3
4,#3 5&6#(7) 89
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333 4%5067./.07
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$89
(V1 or V2) + (V5 or V6) = _____mm
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+02/ )0--07 ,-./&/012
!"#
!%%%
&'()*
*6//"-7:;--&1?QAB
L@ :+3";
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:+3";?@AB
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CDDD E F+G C"HH,(EI"- 2"==+- 2J"# C,3J( >?KAB
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CDDD E F+G C"HH,(EI"- 2"==+- 2J"# C,3J( >?KAB
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L@ ,' 1&/M=+(+=7 #+3";?KAB
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FDDD ,# LP R,(J 'J&-( V"( C >?QAB
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FDDD ,# LP R,(J 'J&-( V"( C >?QAB
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IC9! >?QAB
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L@ :+3";
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