9517 results
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Build clinical suspicion ... myocarditis Clinical ... Myocardial injury (ST ... Myocarditis #diagnosis #management
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
on ECG - aVR ST ... > 1 mm - aVR ST ... segment elevation > ST
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
- Elevation of ST ... and upsloping ST ... often with 1-2 mm ST ... Posterior STEMI - ST ... criterion 1 - ST
ST segment elevation in acute myocardial ischemia

ST segment elevations with straight (horizontal, upsloping or downsloping) or
ST segment elevation ... myocardial ischemia ST ... downsloping) or convex ST ... Concave ST segment ... Concave ST segment
Sgarbossa Criteria A - Concordant ST segment elevation of >1m, in any lead | Sgarbossa Criteria
A - Concordant ST ... B - Concordant ST ... Disconcordant ST
What are the original Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead =
- Concordant ST-segment ... points - Concordant ST-segment ... points - Discordant ST-segment
Reperfusion Management of Myocardial Infarction with ST-segment Elevation (STEMI)

#STEMI #PCI #Fibrinolysis #Transfer #Reperfusion #Algorithm #Timeline #Cardiology
Reperfusion Management ... Infarction with ST-segment
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
RBBB normally has ST ... So ANY ST Elevation ... an isolectric ST ... Electrocardiogram #Clinical
Brugada Syndrome - EKG Characteristics
Patients with Brugada have a pseudo-RBBB and persistent ST elevations in V1-V2.
Type
and persistent ST ... Type 1: • ST elevations ... • Downsloping ST ... wave Type 2: • ST ... "Saddle back" ST-T
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
1) Upsloping ST ... (>= 1 mm) 2) ST