6 results
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... Remember that RBBB ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
500 DANGER - Short ... QT <300-360 ms: ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
for diagnosing MI ... Criteria - Suspect STEMI ... Diagnosis #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... in V1, unless LBBB ... #electrocardiogram ... #cardiology #STEMI
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
HOCM- dagger Q lat ... inf leads, LVH, LAE ... #EKG #Checklist ... #diagnosis #cardiology ... #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... morphology similar to LBBB ... STElevation #ST #STEMI ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram