11 results
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... descending (LAD ... ) occlusion ... #ECG #EKG #Electrocardiogram ... #Criteria
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
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on EKG - Anterior ... descending occlusions ... before or after STEMI ... #EKG #ECG #Electrocardiogram ... #diagnosis #cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... meeting ST elevation criteria ... • Hyperacute T Waves ... MyocardialInfarction #OMI #STEMI ... #electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... Occlusion Remember ... STEMI Criteria misses ... #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... in avL - early inferior ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V6 • Sgarbossa criterion ... • Sgarbossa criterion ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Inferior Regional Wall Motion Abnormalities on POCUS Echocardiogram

Older male with chest pain, diaphoresis. ECG with concerning
ECG with concerning ... Hyperacute T wave ... Had RCA occlusion ... Echocardiogram #clinical #cardiology ... #PSAX #Labeled
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... - Suspect STEMI ... Diagnosis #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... artery (LMCA). left anterior ... • Vereckei criteria ... #electrocardiogram ... #diagnosis #ekg
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... complex 10 in lead ... elevation 2.5mm/S-wave ... #Electrocardiogram ... #Clinical #Cardiology