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

1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... 1 mm) 2) ST depressions ... #ECG #EKG #Electrocardiogram ... Diagnosis #Cardiology #Criteria
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
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 ... @EM_RESUS #LAD
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
• Sgarbossa criterion ... V6 • Sgarbossa criterion ... • Sgarbossa criterion ... 3 (modified) - ... #EKG #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... disease - ST depression ... - R/S >1 or ST depression ... #EKG #diagnosis
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Criteria - Tall ... Upsloping ST segment depression ... aVR - “Normal” STEMI ... #DeWinter #TWaves ... #ECG #EKG #Clinical
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... complex 10 in lead ... elevation 2.5mm/S-wave ... #Modified #EKG
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
STEMI on ECG ... how subtle an EKG ... reciprocal st depressions ... frequently missed stemi ... #Circumflex #STEMI
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

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The combination of
combination of ST depression ... rocket-shaped T waves ... in 2% of acute LAD ... be considered a STEMI ... Clinical #Cardiology #EKG
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Opposing leads ST depression ... ventricle pacing lead ... STElevation #ST #STEMI ... #ekg #electrocardiogram