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

1) Upsloping
Pattern STEMI ... Equivalent - Left anterior ... 1) Upsloping ST ... elevation in aVR ... #Diagnosis #Cardiology
ST segment elevation in acute myocardial ischemia

ST segment elevations with straight (horizontal, upsloping or downsloping) or
ST segment elevation ... less likely to be caused ... the underlying cause ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
leads with STE in avR ... inversion - STE avR ... - early inferior ... electrocardiogram #cardiology ... Interpretation #differential
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
- Anterior OMI ... before or after STEMI ... elevation in aVR ... #ECG #Electrocardiogram ... #diagnosis #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
elevation in aVR ... deviation) • Acute ischemia ... #Equivalents #ECG ... #differential # ... cardiology #electrocardiogram
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 ... predictor of recurrent ischemic ... #AVR #leadAVR #ecg ... cardiology
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
: “Nonspecific ST ... Hyperacute Inferior ... InferoPosterior transmural ischemia ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential ... Algorithm The ... believe that the ST ... segment is the only ECG ... Algorithm #cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
evaluating for other causes ... in relation to ECG ... leads) RV Ischemia ... • Non-specific ST-T ... AcutePE #diagnosis #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Elevation - Differential ... depression in aVR ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram