19 results
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
- Diagnostic Checklist ... - Suspect STEMI ... #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
Right Bundle Branch Block (RBBB) - EKG Diagnosis
EKG Criteria:
 • QRS > 0.12 seconds
 • Slurred
) - EKG Diagnosis ... EKG Criteria: ... #EKG #Diagnosis ... #ECG #electrocardiogram ... #cardiology
Sgarbossa’s ECG criteria for detecting ischemia in the presence of left bundle branch block (LBBB)

The Sgarbossa
ischemia in the ... branch block (LBBB ... #Diagnosis #Cardiology ... #ECG #EKG #Sgarbossas ... Discordance #Normal #LBBB
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
meeting ST elevation criteria ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #cardiology #electrocardiogram ... #ecg #ekg
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... Remember that RBBB ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... in V1, unless LBBB ... #ECG #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... Incomplete or Complete RBBB ... leads) RV Ischemia ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
• Sgarbossa criterion ... deviation) • Acute ischemia ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
(<360ms) PE: RBBB ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... #electrocardiogram