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

1) Upsloping
Pattern STEMI ... anterior descending (LAD ... elevation in aVR ... #EKG #Electrocardiogram ... Diagnosis #Cardiology #Criteria
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Occlusion on ECG ... - aVR ST segment ... #ECG #EKG #Diagnosis ... #Electrocardiogram ... #Cardiology #Criteria
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 ... #electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... - Suspect STEMI ... #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
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 ... @EM_RESUS #LAD ... #EKG #Electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... main coronary artery ... • Vereckei criteria ... #AVR #leadAVR #ecg ... #electrocardiogram
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
Winter T-Waves on EKG ... come before or after ... STEMI - look for ... aVR (0.5-1mm) Look ... #ECG #Electrocardiogram
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... complex 10 in lead ... V6 has ST elevation ... #Modified #EKG ... #Electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... (or 40-60 ms after ... elevation in aVR ... 3 (modified) - ... differential #cardiology #electrocardiogram
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
on ECG This ... ST elevations in ... leads 1 and avl ... with reciprocal st ... #ECG #EKG #Electrocardiogram