15 results
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... elevation criteria • Posterior ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology ... #electrocardiogram
Posterior STEMI by "flipping" the EKG

- BCM IM Residency @BCM_InternalMed

#Posterior #STEMI #flipping #flipped #EKG #ECG #Electrocardiogram
Posterior STEMI ... "flipping" the EKG ... #STEMI #flipping ... ECG #Electrocardiogram ... #clinical #cardiology
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
100% proximal LAD Occlusion ... #ProximalLAD #Occlusion ... #ECG #EKG #STEMI ... #EKG #Electrocardiogram ... #Cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... descending (LAD) occlusion ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential ... segment is the only ECG ... predictive of occlusion ... #Differential # ... Algorithm #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
100% Acute LAD Occlusion ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... #Electrocardiogram ... #Clinical #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
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Winter T-Waves on EKG ... anterior descending occlusions ... before or after STEMI ... #ECG #Electrocardiogram ... #diagnosis #cardiology
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
Hyperkalemia on EKG ... widening • Sinus bradycardia ... waves • Pseudo-STEMI ... #ECG #electrocardiogram ... #cardiology #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
depression in VI-V2 - posterior ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... STD in V2 (posterior ... pattern of Acute RCA Occlusion ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior