13 results
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... believe that the ST ... predictive of occlusion ... #Differential #Algorithm ... #cardiology #occlusionMI
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Main Coronary Artery ... Occlusion on ECG ... LeftMain #Coronary #Occlusion ... #Artery #ECG #EKG ... #Diagnosis #Electrocardiogram
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
patterns for Acute Occlusion ... without meeting ST ... @jonnywatt #Occlusion ... MyocardialInfarction #OMI #STEMI ... diagnosis #cardiology #electrocardiogram
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... descending (LAD) occlusion ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... TWaves #ECG #EKG #Electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
100% Acute LAD Occlusion ... RBBB normally has ST ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... Total #ECG #EKG #Electrocardiogram
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
anterior descending occlusions ... come before or after ... STEMI - look for ... ST elevation in ... TWaves #EKG #ECG #Electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... at (or 40-60 ms after ... aVR • Posterior STEMI ... differential #cardiology #electrocardiogram
Recommendations for initial management of Unstable Angina/NSTEMI

Flowchart for class I and class lla recommendations for initial
Unstable Angina/NSTEMI ... angina/non— ST-segment ... infarction (UA/NS TEMI ... CABG, coronary artery ... UnstableAngina #Management #Algorithm
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
hour had a 100% occlusion ... EKG can look in occlusion ... ST elevations in ... with reciprocal st ... #ECG #EKG #Electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Diagnosis Framework STEMI ... • Epicardial artery ... #STEMI #Segment ... cardiology #ecg #ekg #electrocardiogram