10 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
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... meeting ST elevation criteria ... @jonnywatt #Occlusion ... #STEMI #equivalent ... #diagnosis #cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... descending (LAD) occlusion ... precordial leads #DeWinter ... Electrocardiogram #Diagnosis #Cardiology ... #Criteria
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
OMI - 2% of left ... anterior descending occlusions ... before or after STEMI ... Team @FOAMfrat #DeWinter ... Electrocardiogram #diagnosis #cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
OMI vs STEMI - Differential ... segment is the only ECG ... predictive of occlusion ... #OMI #STEMI #Differential ... #Algorithm #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... for diagnosing MI ... STEMI if any of ... electrocardiogram #ecg ... #cardiology #lbbb
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
- Ischemia MI ... bigger than QRS - deWinter ... wave inversion in avL ... early inferior MI ... electrocardiogram #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
ï‚· Ischemic Symptoms
ï‚· EKG and/or biomarker evidence of AMI
CRITERIA Acute ... Ischemic Symptoms ï‚· EKG ... (STEMI or NSTEMI ... TIMI III flow in all ... Initiative #Management #Cardiology
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
isolated to I & aVL ... by D1 of LAD & OM1 ... 100% proximal occlusion ... LAD #Diagonal1 #ECG ... #Cardiology #Clinical