8 results
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
for ST Segment Elevations ... - ACUTE STEMI ... EMBOLISM - LBBB ... #STEMI #Differential ... #Diagnosis #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... 3) Implement Modified ... Criteria - Suspect STEMI ... Checklist #EKG #electrocardiogram ... #ecg #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Remember that RBBB ... So ANY ST Elevation ... STEMI Criteria misses ... Total #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... Sgarbossa criterion 3 (modified ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa ... for diagnosing STEMI ... presence of a LBBB ... discordant ST elevation ... S #Diagnosis #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... in V1, unless LBBB ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential ... morphology similar to LBBB ... #Elevation #differential ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... lead V6 has ST elevation ... #EKG #Electrocardiogram ... #Clinical #Cardiology