12 results
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... ) Upsloping ST elevation ... #Criteria
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... STEMI - Elevation ... • Wellens sign A ... #Equivalents #ECG ... #differential #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
a patient with ... 100% Acute LAD Occlusion ... So ANY ST Elevation ... STEMI Criteria misses ... #Clinical #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... artery (LMCA). left anterior ... LMCA clusvon has a ... • Vereckei criteria ... #differential #cardiology
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
precordial leads and ST elevation ... This suggests a ... addition to the anterior ... #Clinical #EM #Cardiology ... #EKG #DeWinter
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... in avL - early inferior ... posterior infarct, get a ... electrocardiogram #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... QRS complex Pulmonary ... #ST #STEMI #Segment ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
- Suspect STEMI ... if any of A-C: ... a) Concordant ... electrocardiogram #ecg ... #cardiology #lbbb
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
ST elevation with ... in aVL and in lead ... conduction delay (R'-wave ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... complex 10 in lead ... V6 has ST elevation ... 2.5mm/S-wave 6mm ... Electrocardiogram #Clinical #Cardiology