13 results
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
The electrocardiogram ... in the ACS patient ... elevation #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #Equivalents
Progression of EKG changes in ACS
 • Hyperacute T waves
 • ST depression and T waves
changes in ACS ... waves changes • ST ... #ACS #ECG #electrocardiogram ... #Timeline #cardiology ... #diagnosis
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Coronary Syndrome (ACS ... is reflected by ECG ... #Diagnosis #Cardiology ... #ACS #Unstable ... #Angina #NSTEMI
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... 1) Upsloping ST ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
without meeting ST ... elevation criteria ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #cardiology #electrocardiogram
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... believe that the ST ... segment is the only ECG ... EMN @EMNews #ACS ... #Algorithm #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
elevation in ACS ... includes ACS vs ... aVR instead of ACS ... #electrocardiogram ... #diagnosis #ekg
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... associated with ST ... • Transient ST ... changes on tele/ECG ... #cardiology #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
of the leads l, aVL ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... wave inversion in avL ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI