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

1) Upsloping
ECG Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... in precordial leads ... #Diagnosis #Cardiology
Proximal LAD STEMI on EKG

Pt required pressors to get to PCI.

Eric Abrams, MD @eabramsMD

#Proximal #LAD #STEMI
Proximal LAD STEMI ... #Proximal #LAD ... #STEMI #EKG #ECG ... #clinical #cardiology ... Electrocardiogram #Anterior
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
leads. ... open proximal LAD ... wraparound distal LAD ... #Clinical #EM #Cardiology ... #EKG #DeWinter
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 ... #EKG #diagnosis ... electrocardiogram #cardiology
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Left Anterior Fascicular ... Block on EKG ... axis deviation (LAD ... Block #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram
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
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... in precordial leads ... stenosis of proximal LAD ... becoming acute anterior ... #Diagnosis #Cardiology
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... no contiguous lead ... V4 sit over the anterior ... #STEMI #Localization ... EmergencyMedicine #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Capture: Narrow, different ... Criteria - Suspect STEMI ... > 1 mm in any lead ... > 25% in any lead ... #cardiology #lbbb
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