8 results
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion
suggestive of coronary occlusion ... #Diagnosis #Cardiology ... #Coronary #Occlusion ... #Wellens #DeWinter ... #Sgarbossa #STEMI
Sgarbossa’s ECG criteria for detecting ischemia in the presence of left bundle branch block (LBBB)

The Sgarbossa
Sgarbossa’s ECG ... branch block (LBBB ... be applied to all ... #Diagnosis #Cardiology ... #ECG #EKG #Sgarbossas
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... descending (LAD) occlusion ... #TWaves #ECG #EKG ... Electrocardiogram #Diagnosis #Cardiology ... #Criteria
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... Criteria - Diagnostic ... STEMI if any of ... electrocardiogram #ecg ... #cardiology #lbbb
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
100% Acute LAD Occlusion ... Remember that RBBB ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... Electrocardiogram #Clinical #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... of the leads l, aVL ... • Sgarbossa criterion ... #differential #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... bigger than QRS - deWinter ... wave inversion in avL ... in V1, unless LBBB ... electrocardiogram #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
CRITERIA Acute ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... TIMI III flow in all ... Initiative #Management #Cardiology