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

1) Upsloping
ECG Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... TWaves #ECG #EKG ... #Criteria
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
Lead aVR on EKG ... Lead aVR can provide ... #Diagnosis #Cardiology ... #EKG #ECG #Lead ... #AVR #Utility #ALiEM
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... have no pain - LAD ... avR - proximal LAD ... #Ischemia #ECG ... #EKG #diagnosis
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
open proximal LAD ... wraparound distal LAD ... addition to the anterior ... #Clinical #EM #Cardiology ... #EKG #DeWinter
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
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... no contiguous lead ... #EKG #diagram #Electrocardiogram ... #STEMI #Localization ... EinthovenTriangle #Cardiac
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
- Suspect STEMI ... > 1 mm in any lead ... wave > 25% in any lead ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... leads) #STEMI ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ... in aVL and in lead ... suggestive of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... ventricle pacing lead ... QRS complex Pulmonary ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram