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

1) Upsloping
Pattern STEMI ... Equivalent - Left ... anterior descending (LAD ... 1 mm) 2) ST depressions ... #EKG #Electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... normally has ST Depression ... STEMI Criteria misses ... - Sam Ghali, M.D ... #EKG #Electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't ... have no pain - LAD ... avR - proximal LAD ... #EKG #diagnosis ... #Equivalents #Interpretation
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Sgarbossa criterion ... 3 (modified) - ... #Equivalents #ECG ... #EKG #diagnosis
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... Criteria - Diagnostic ... - Fusion: odd ... - Suspect STEMI ... #Checklist #EKG
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
STEMI on ECG ... reciprocal st depressions ... frequently missed stemi ... #Circumflex #STEMI ... #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 ... criteria in the ... complex 10 in lead ... #Modified #EKG
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... similar but this ST Depression ... - Sam Ghali, M.D ... @EM_RESUS #STEMI ... #EKG #Electrocardiogram
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

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The combination of
combination of ST depression ... in 2% of acute LAD ... be considered a STEMI ... equivalent. - Dr ... Clinical #Cardiology #EKG