19 results
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... Contiguous leads ... lead (aVR stands ... #STEMI #Localization ... #Contiguous #Leads
Right sided ECG leads (V1R-V6R) are positioned in a mirror image fashion to the standard 12-lead
leads (V1R-V6R) ... the standard 12-lead ... (RV) infarcts #EM ... #EKG #Lead #Placement ... #ALiEM
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... in precordial leads ... #Diagnosis #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
leads, except ... leads of 0.5mm ... have no pain - LAD ... avR - proximal LAD ... infarct, get a 15 lead
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
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
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
in precordial leads ... leads. ... open proximal LAD ... wraparound distal LAD ... #Clinical #EM #Cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... other causes of cardio-pulmonary ... leads) RV Ischemia ... Right Precordial Leads ... #EKG #Pulmonary
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Suspect STEMI ... > 1 mm in any lead ... STD > 1 mm in leads ... wave > 25% in any lead ... #cardiology #lbbb
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
in any of the leads ... in any of the leads ... discordant QRS complex (leads ... leads, or T-wave ... leads) #STEMI