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#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
with an acute pulmonary ... branch block, ST ... in V1 - V4 #Clinical
ECG changes in Pulmonary Embolism
 - 
Sinus tachycardia 
 - 
Complete or incomplete RBBB 
 -
ECG changes in Pulmonary ... enlargement (P pulmonale ... Non-specific ST ... changes, including ST ... - #Pulmonary
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
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Diagnosis for ST ... ACUTE STEMI - PULMONARY
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Opposing leads ST ... in V4 - The ST ... - Reciprocal ST ... QRS complex Pulmonary
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
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