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

1) Upsloping
Pattern STEMI ... anterior descending (LAD ... ) occlusion ... 1) Upsloping ST ... #Diagnosis #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... Occlusion Remember ... STEMI Criteria misses ... @EM_RESUS #LAD ... #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... have no pain - LAD ... avR - proximal LAD ... electrocardiogram #cardiology
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Recognize this #ECG ... pattern of Acute RCA Occlusion ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... without meeting ST ... @jonnywatt #Occlusion ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
believe that the ST ... segment is the only ECG ... predictive of occlusion ... Differential #Algorithm #cardiology ... #occlusionMI #myocardial
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
Concerning for proximal LAD ... occlusion (Present ... in lead aVR ± aVL ... #ECG #diagnosis ... #cardiology #electrocardiogram
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
combination of ST ... in 2% of acute LAD ... occlusion. ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Suspect STEMI ... > 1 mm in any lead ... wave > 25% in any lead ... electrocardiogram #ecg ... #cardiology #lbbb
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
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anterior descending occlusions ... before or after STEMI ... - look for ST ... #ECG #Electrocardiogram ... #diagnosis #cardiology