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

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... anterior descending (LAD ... 1) Upsloping ST ... (>= 1 mm) 2) ST
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
3 ECG patterns for ... without meeting ST ... • De Winter's Pattern ... MyocardialInfarction #OMI #STEMI ... electrocardiogram #ecg
Stimulated
SA node
AV node -
Un-stimulated
#PQ
(mV) 0
ECG (lead II)
QRS
#QRS
#SA node
#AV node
#Bundle of His
Bundle branches
#Purkinje fibers
#QRS
#ST
Un-stimulated #PQ ... (mV) 0 ECG (lead ... fibers #QRS #ST
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... Occlusion #Total #ECG
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... new/old infarct STEMI ... have no pain - LAD ... avR - proximal LAD
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
urgent treatment, STEMI ... patients with ST ... features of the EKG ... #ECG #STElevation ... #Differential #Patterns
ST segment elevation in acute myocardial ischemia

ST segment elevations with straight (horizontal, upsloping or downsloping) or
ST segment elevation ... myocardial ischemia ST ... Diagnosis #Cardiology #ECG ... #EKG #STEMI #STElevation ... #Ischemic #Patterns
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... The name STEMI ... believe that the ST ... segment is the only ECG ... #Differential #Algorithm
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... similar but this ST ... Depression pattern ... @EM_RESUS #STEMI ... #Diagonal1 #ECG
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... on ECG This ... ST elevations in ... with reciprocal st ... frequently missed stemi