8 results
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
diagnosing MI in LBBB ... or Pacemaker LBBB ... conducted 2) LBBB ... Criteria - Suspect STEMI ... b) Concordant STD
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... big R or R/S>I STEMI ... in V1, unless LBBB ... electrocardiogram #cardiology #STEMI
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Diagnosis for ST ... Elevations - ACUTE STEMI ... EMBOLISM - LBBB ... #STElevation #STEMI
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
for diagnosing STEMI ... presence of a LBBB ... is concordant ST ... B: Concordant STD ... Modified #Criteria #LBBB
LAD
IWMI
LAHB
RAD
[PHB
RVH
Lateral wall infarct
Lead reversal
Dextrocardia
Wide ORS
RBBB - terminal delay
[BBB
IVED
WPW = delta wave
Hyperkalemia
Type l antiarrhythmic drugs
Pacemaker
ST elevation
Early repolarization
drugs Pacemaker ST ... repolarization Diffuse ST ... Elevation AcutE STEMI ... Brugada syndrome ST ... #LBBB #IVED #WPW
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Remember that RBBB ... normally has ST ... So ANY ST Elevation ... an isolectric ST ... STEMI Criteria misses
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Diagnosis Framework STEMI ... Opposing leads ST ... morphology similar to LBBB ... #STEMI #Segment
Diets and Inflammatory Bowel Disease (IBD)
Diet affects IBD by 3 mechanisms
1. Microbiome ( ↓ diversity)
2. Mucosal
of diet therapy CD ... ) - Elemental, semi-elemental ... NG tube); • CD-TREAT ... Carbohydrate Diet (SCD ... Diet derived from SCD