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

1) Upsloping
Pattern STEMI ... anterior descending (LAD ... 1 mm) 2) ST depressions ... #EKG #Electrocardiogram ... Diagnosis #Cardiology #Criteria
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 ... criterion 2 - ST ... • Sgarbossa criterion ... #EKG #diagnosis ... #differential #
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... Criteria - Diagnostic ... - Fusion: odd ... STEMI if any of ... Diagnosis #Checklist #EKG
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 ... #EKG #diagnosis ... Interpretation #differential
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... criteria in the ... criteria. ... complex 10 in lead ... #EKG #Electrocardiogram
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
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
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework STEMI ... ventricle pacing lead ... STElevation #ST #STEMI ... #ekg #electrocardiogram
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 • Acute: Trauma, COPD exacerbation, Asthma
Causes of Dyspnea - Differential ... Pericarditis, CAD ... Thyroid disease Psychiatric ... Anxiety, PTSD, Depression ... Chronic #Causes #Differential