14 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... have no pain - LAD ... avR - proximal LAD ... #EKG #diagnosis
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

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

Remember that RBBB normally has ST
Here’s an ECG of ... with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... #EKG #Electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Suspect STEMI ... > 1 mm in any lead ... wave > 25% in any lead ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... how subtle an EKG ... ST elevations in ... with reciprocal st ... frequently missed stemi
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... on EKG 47 year ... atrial rhythm with ST ... all wraparound LAD ... #STEMI #EKG #clinical
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
in aVL and in lead ... suggestive of STEMI ... suggestive of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... similar but this ST ... @EM_RESUS #STEMI ... #Diagonal1 #ECG ... #EKG #Electrocardiogram
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
is additional ST ... diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... ventricle pacing lead ... #STEMI #Segment ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram