23 results
LAD
IWMI
LAHB
RAD
[PHB
RVH
Lateral wall infarct
Lead reversal
Dextrocardia
Wide ORS
RBBB - terminal delay
[BBB
IVED
WPW = delta wave
Hyperkalemia
Type l antiarrhythmic drugs
Pacemaker
ST elevation
Early repolarization
Pacemaker ST elevation ... pericarditis Elevation ... AcutE STEMI Variant ... Nonconducted APC #LAD ... #LBBB #IVED #WPW
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
for ST Segment Elevations ... - ACUTE STEMI ... EMBOLISM - LBBB ... #STSegment #STElevation ... #STEMI #Differential
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis
 • Lead V1 - LBBB Criteria
 •
Diagnosis • Lead ... V1 - LBBB Criteria ... • Lead V1 - RBBB ... aVR - Vereckie Algorithm ... #Algorithm #
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 ... So ANY ST Elevation ... STEMI Criteria misses ... @EM_RESUS #LAD
What are the original Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead =
Concordant ST-segment elevation ... ≥ 1 mm in any lead ... Discordant ST-segment elevation ... ≥ 5 mm in any lead ... Sgarbossa #Criteria #LBBB
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... infarct, get a 15 lead ... in V1, unless LBBB ... electrocardiogram #cardiology #STEMI
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... ) Upsloping ST elevation
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
diagnosing MI in LBBB ... or Pacemaker LBBB ... Criteria - Suspect STEMI ... > 1 mm in any lead ... wave > 25% in any lead
Reperfusion Management of Myocardial Infarction with ST-segment Elevation (STEMI)

#STEMI #PCI #Fibrinolysis #Transfer #Reperfusion #Algorithm #Timeline #Cardiology
with ST-segment Elevation ... (STEMI) #STEMI ... #Reperfusion #Algorithm
Recommendations for initial management of Unstable Angina/NSTEMI

Flowchart for class I and class lla recommendations for initial
Unstable Angina/NSTEMI ... — ST-segment elevation ... infarction (UA/NS TEMI ... UnstableAngina #Management #Algorithm