David Didlake (@DidlakeDW)

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@EcgsOnly The perfect reference material to solve this incredible ECG! https://t.co/19NoOsrLob
@sdSuhailDar @EcgsOnly @EcgOxford @ecgrhythms @PMcardioBot @Dr_Ahmedkanani @smithECGBlog @DrDeepakKrishn1 @OSEM_Conference @RobertHermanMD Per Kosuge the distribution and magnitude of T wave inversion favors a reperfusing LAD > PE. Apically directed injury vector. https://t.co/19NoOsrLob
@marioalrb84_a @The_Nanashi_O @ecgrhythms @EM_RESUS @smithECGBlog @OrlandoRPN @angna_86 @cardiogax @y_interna @DanielSierraLM @cardioelihu @BrooksWalsh @relm_11969 @RobertHermanMD Acute RV strain (most nefarious cause being PE). Kosuge is very helpful in these circumstances. https://t.co/19NoOsrLob
Interesting article Re: Type II MI. https://t.co/SNfTmTevXZ The authors Dx AFib, but here’s an alternative hypothesis to account for irregular R-R. @ecgrhythms @syamkumarmd @The_Nanashi_O @anunay_cardio @brun_dav @MaruanCarlos @DruvBhagavan @AntoOhanian @UlhasDr Love EP :) https://t.co/O17NsN9Yx6
@anunay_cardio @DrRajeshG1 This is a great case, sir. Thanks for sharing! If captured *during symptoms* then the pattern fits the Kosuge criteria for PE over ACS. Perhaps an #echofirst would help speed refinement of the DDx. https://t.co/19NoOsrLob
@bougiemedic @EcgsOnly @ecgrhythms Kosuge studied this very dilemma of T wave configuration when the DDx is Wellens vs PE. A worthwhile read

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