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

1) Upsloping
ECG Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... #DeWinter #TWaves ... #Diagnosis #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Suspect STEMI ... > 1 mm in any lead ... > 25% in any lead ... Diagnosis #Checklist #EKG ... #cardiology #lbbb
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... infarct, get a 15 lead ... in V1, unless LBBB ... electrocardiogram #cardiology
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
open proximal LAD ... wraparound distal LAD ... #Clinical #EM #Cardiology ... #EKG #DeWinter ... #TWaves
Posterior ECG leads (V7-V9) are applied by moving V4-V6 to under the left scapula.Purpose: To detect
Posterior ECG leads ... lateral wall AMI #EM ... #Cardiology #Posterior ... #EKG #Lead #Placement ... #ALiEM
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... • Dominant R Wave ... (VI-V3) +/- Inferior ... #EKG #Pulmonary ... AcutePE #diagnosis #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
ventricle pacing lead ... morphology similar to LBBB ... QRS complex Pulmonary ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ... in aVL and in lead ... conduction delay (R'-wave ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Patient has t-wave ... inversions V1-V4 plus inferior ... leads (II, III, ... #clinical #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Sinus Tachy w/ BBB ... MAT) - 3 different ... P waves in lead ... #EKG #diagnosis ... electrocardiogram #cardiology