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

1) Upsloping
De Winter T Wave ... precordial leads #DeWinter ... #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
- Diagnostic Checklist ... for diagnosing ... #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
or LBBB morphology ... - Brugada's sign ... - Josephson's sign ... Versus #ecg #ekg #cardiology ... #diagnosis #electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... Equivalents #ECG #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... in V1, unless LBBB ... #electrocardiogram ... #cardiology #STEMI
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Serial EKGS in pts ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Trifascicular block - RBBB ... (<360ms) PE: RBBB ... Syndromes #ECG #EKG #Checklist ... #diagnosis #cardiology ... #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... STE: "Pardee's sign ... morphology similar to LBBB ... #cardiology #ecg ... #ekg #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Sinus Tachy w/ BBB ... 3 different P waves ... bradyarrhythmia #ECG #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
also a result of atrial ... Incomplete or Complete RBBB ... • Dominant R Wave ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram