13 results
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Coronary Artery Occlusion ... LeftMain #Coronary #Occlusion ... #Artery #ECG #EKG ... #Diagnosis #Electrocardiogram ... #Cardiology #Criteria
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
100% Acute LAD Occlusion ... Remember that RBBB ... STEMI Criteria misses ... #Electrocardiogram ... #Clinical #Cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... meeting ST elevation criteria ... @jonnywatt #Occlusion ... equivalent #diagnosis #cardiology ... #electrocardiogram
Right Bundle Branch Block (RBBB) - EKG Diagnosis
EKG Criteria:
 • QRS > 0.12 seconds
 • Slurred
Branch Block (RBBB ... ) - EKG Diagnosis ... EKG Criteria: ... #ECG #electrocardiogram ... #cardiology
LBBB Ventricular Tachycardia Criteria - Lead V1 - Telemetry Diagnosis
WCT is VT IF:
 • Initial r
LBBB Ventricular ... Tachycardia Criteria ... downstroke #LBBB ... V1 #diagnosis #cardiology ... #ekg #ecg #telemetry
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
, LVH, LBBB, LAFB ... leads slurred S), LBBB ... Short QT <300-360 ms ... #EKG #diagnosis ... #electrocardiogram
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... descending (LAD) occlusion ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
Syncope with WPW and LBBB
 
28 y/o. Women. Healthy. Pregnant 20 weeks. Syncope w/o other symp.
Syncope with WPW ... and LBBB 28 ... #ECG #EKG #Electrocardiogram ... #Cardiology #Clinical ... #Syncope #LBBB
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... #Sgarbossa #Criteria ... Diagnosis #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
+ negative T WPW ... (<360ms) PE: RBBB ... #EKG #Checklist ... #diagnosis #cardiology ... #electrocardiogram