27 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
0.5mm downgoing ST ... Equivalents / Don't Miss Signs ... line; upsloping ST ... have no pain - LAD ... avR - proximal LAD
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... 1) Upsloping ST ... (>= 1 mm) 2) ST
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... RBBB normally has ST ... an isolectric ST ... STEMI Criteria misses ... @EM_RESUS #LAD
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Diagnosis for ST ... Elevations - ACUTE STEMI ... ) - BRUGADA SIGN ... SPIKED HELMET SIGN ... #STElevation #STEMI
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... aVR • Posterior STEMI ... V2 • Wellens sign ... pain • Wellens sign
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... STE: "Pardee's sign ... ventricle pacing lead ... (Eiffel Tower sign ... #STEMI #Segment
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... ST elevations in ... with reciprocal st ... frequently missed stemi ... Mid #Circumflex #STEMI
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ST ... with reciprocal ST ... in aVL and in lead ... suggestive of STEMI ... wave in V1) with ST
LAD
IWMI
LAHB
RAD
[PHB
RVH
Lateral wall infarct
Lead reversal
Dextrocardia
Wide ORS
RBBB - terminal delay
[BBB
IVED
WPW = delta wave
Hyperkalemia
Type l antiarrhythmic drugs
Pacemaker
ST elevation
Early repolarization
drugs Pacemaker ST ... repolarization Diffuse ST ... Elevation AcutE STEMI ... Brugada syndrome ST ... Nonconducted APC #LAD
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... atrial rhythm with ST ... all wraparound LAD ... #Wraparound #LAD ... #STEMI #EKG #clinical