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

1) Upsloping
Winter T Wave ECG ... anterior descending (LAD ... DeWinter #TWaves #ECG ... #EKG #Electrocardiogram ... Diagnosis #Cardiology #Criteria
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... Criteria - Diagnostic ... Diagnosis #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Artery Occlusion on ECG ... Occlusion #Artery #ECG ... #EKG #Diagnosis ... #Electrocardiogram ... #Cardiology #Criteria
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 ... STEMI Criteria misses ... Occlusion #Total #ECG ... #EKG #Electrocardiogram
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
3 ECG patterns for ... without meeting ST ... elevation criteria ... diagnosis #cardiology #electrocardiogram ... #ecg #ekg
Paced Rhythm ECG - Sgarbossa Positve

ECG A is the patient’s baseline ECG.  ECG B shows
Paced Rhythm ECG ... ECG A is the ... ECG B shows significant ... and concordant ST ... #ECG #EKG #Electrocardiogram
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Positive ECG ... Interestingly, the ECG ... V6 has ST elevation ... #ECG #Modified ... #EKG #Electrocardiogram
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
Concerning for proximal LAD ... in lead aVR ± aVL ... DeWinters #TWaves #EKG ... #ECG #diagnosis ... #cardiology #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... have no pain - LAD ... #Ischemia #ECG ... #EKG #diagnosis ... #electrocardiogram
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
-
Wellens Syndrome on EKG ... of the proximal LAD ... - Isoelectric ST ... Wellens #Syndrome #EKG ... #ecg #cardiology