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

1) Upsloping
Pattern STEMI ... anterior descending (LAD ... ST elevation in aVR ... #EKG #Electrocardiogram ... #Criteria
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
- Diagnostic Checklist ... - Suspect STEMI ... Modified #Diagnosis #Checklist ... #EKG #electrocardiogram ... #ecg #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... Remember that RBBB ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... anterior descending (LAD ... • Classic EKG ... #electrocardiogram ... cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- proximal LAD ... in V1, unless LBBB ... #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
assoc with 1K, AV ... #EKG #Checklist ... #diagnosis #cardiology ... #electrocardiogram ... #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
ST elevation in aVR ... • Sgarbossa criterion ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Sinus Tachy w/ BBB ... different P waves in lead ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework STEMI ... morphology similar to LBBB ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram