8 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Miss Signs of Ischemia ... have no pain - LAD ... avR - proximal LAD ... #ECG #EKG #diagnosis
Myocardial Infarction - Definition and Types

Type 1 - Spontaneous Myocardial Infarction
 - Atherosclerotic plaque rupture or
Secondary to an Ischaemic ... Condition other than CAD ... supply and/or demand ... #Definitions #NSTEMI ... #Type1 #Type2 #Demand
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... 3) Implement Modified ... Criteria - Suspect STEMI ... > 1 mm in any lead ... Diagnosis #Checklist #EKG
Myocardial infarction:
Classified into 5 types based on etiology and circumstances:

Type 1: Spontaneous MI caused by ischemia
Spontaneous MI caused by ischemia ... Type 2: Ischemia ... increased oxygen demand ... #MI #Ischemia #myocardialinfarction ... #CAD #thrombosis
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
O2, Monitors, ECG ... : Bad block? ... Ischemia? ... Set pacemaker to Demand ... Patients DIE: Drugs, Ischemia
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... Sgarbossa criterion 3 (modified ... deviation) • Acute ischemia ... #Equivalents #ECG ... #EKG #diagnosis
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Infarction  Ischemic ... Symptoms  EKG ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... ACTIVATE CATH LAB
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... positive based on the modified ... complex 10 in lead ... #Modified #EKG