16 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... avR - proximal LAD ... #electrocardiogram ... #cardiology #STEMI
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... anterior descending (LAD ... 1) Upsloping ST ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
Concerning for proximal LAD ... V1-V4 without STE ... in lead aVR ± aVL ... #ECG #diagnosis ... #cardiology #electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... with 100% Acute LAD ... @EM_RESUS #LAD ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
> 1 mm in any lead ... wave > 25% in any lead ... Diagnosis #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... long QT via long ST ... Syncope #Syndromes #ECG ... #diagnosis #cardiology ... #electrocardiogram
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
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Wellens Syndrome on EKG ... of the proximal LAD ... - Isoelectric ST ... #ecg #cardiology ... #electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... anterior descending (LAD ... #AVR #leadAVR #ecg ... #electrocardiogram ... #differential #cardiology
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
waves suggests CTI-independent ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Opposing leads ST ... ventricle pacing lead ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram