14 results
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 ... #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 ... #EKG #Electrocardiogram ... #Clinical #Cardiology
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
Right sided ECG leads (V1R-V6R) are positioned in a mirror image fashion to the standard 12-lead
the standard 12-lead ... (RV) infarcts #EM ... #Cardiology #RightSided ... #EKG #Lead #Placement ... #ALiEM
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 ... infarct, get a 15 lead ... electrocardiogram #cardiology
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
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V6 • Sgarbossa criterion ... • Sgarbossa criterion ... leads) #STEMI ... #EKG #diagnosis ... #differential #cardiology
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ... ST elevation with ... in aVL and in lead ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
and ST elevation ... in inferior leads ... open proximal LAD ... wraparound distal LAD ... #Clinical #EM #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 ... descending (LAD ... only looks at aVR lead ... #differential #cardiology