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

1) Upsloping
Pattern STEMI ... anterior descending (LAD ... DeWinter #TWaves #ECG ... #Diagnosis #Cardiology ... #Criteria
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... Occlusion #Total #ECG ... #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... wave inversion in avL ... depression in V2 - RV ... electrocardiogram #cardiology
Medical Management of Acute RV Failure
 • Evaluate and Treat Etiology of RV Failure [e.g. Acute
Medical Management ... Failure [e.g. ... , Pulmonary Embolism ... Supportive Measures Act ... rightventricular #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Sister had MI in ... ) with dilated RV ... A4c #clinical #cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... The mother of all ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram ... #ecg
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... • Vereckei criteria ... VT than Brugada criteria ... #AVR #leadAVR #ecg ... #differential #cardiology
Normal Sinus Rhythm - ECG Diagnosis
Normal sinus rhythm (NSR) is an impulse that originates in the
leads III and aVL ... leads V4-V6 (in 12-lead ... ECG) • most often ... SinusRhythm #nsr #cardiology ... #criteria
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... - Suspect STEMI ... > 1 mm in any lead ... electrocardiogram #ecg ... #cardiology #lbbb
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology