15 results
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
RBBB normally has ST ... an isolectric ST ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
0.5mm downgoing ST ... depression in V2 - RV ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Inferior MI with Right Ventricular (RV) Wall Involvement #Clinical #Cardiology #EKG #Inferior #RV #RightVentricular #STEMI #ECGEducator
MI with Right Ventricular ... (RV) Wall Involvement ... #Clinical #Cardiology ... #EKG #Inferior ... #STEMI #ECGEducator
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
waves • Pseudo-STEMI ... Sinoventricular rhythm • "Sine ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ST ... with reciprocal ST ... There is RV conduction ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Acute Inferior AMI with Right Ventricular Involvement #Clinical #Cardiology #EKG #Inferior #RV #RightVentricular #STEMI #ECGEducator
AMI with Right Ventricular ... Involvement #Clinical ... #Cardiology #EKG ... #Inferior #RV # ... RightVentricular #STEMI
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
wide QRS, no P, sine ... long QT via long ST ... R in V1, RAE, RV ... #EKG #Checklist ... #electrocardiogram
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... atrial rhythm with ST ... Wraparound #LAD #STEMI ... #EKG #clinical ... #cardiology #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... V5-6 • Left Ventricular ... Pacing: - Pacing spike ... #STEMI #Segment ... #ecg #ekg #electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
by vertical 2ms spike ... Discordance" = ST ... Criteria - Suspect STEMI ... #electrocardiogram ... #ecg #cardiology