13 results
Acute Coronary Syndrome - Management Algorithm
 • STEMI
 • NSTEMI (Troponin Positive) / Unstable Angina (UA,
Acute Coronary Syndrome ... - Management Algorithm ... • STEMINSTEMI ... MatthewHoMD #Acute ... Coronary #Syndrome #ACS
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
diagnosing MI in LBBB ... or Pacemaker LBBB ... conducted 2) LBBB ... Criteria - Suspect STEMI ... b) Concordant STD
How should the modified Sgarbossa Criteria be used in initial evaluation of patients with suspected AMI
with AMI with LBBB ... instability or acute ... (Validated) - ST ... AcuteCoronarySyndrome #ACS ... #Algorithm #RebelEM
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... Algorithm The ... believe that the ST ... EMN @EMNews #ACS ... #Algorithm #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... women • DDx: Acute ... big R or R/S>I STEMI ... in V1, unless LBBB ... electrocardiogram #cardiology #STEMI
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Diagnosis for ST ... Elevations - ACUTE ... STEMI - PULMONARY ... EMBOLISM - LBBB ... #STElevation #STEMI
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
for diagnosing STEMI ... presence of a LBBB ... same direction as ... B: Concordant STD ... Modified #Criteria #LBBB
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
: “Nonspecific ST ... Reciprocal STD in ... STD in V2 (posterior ... classic pattern of Acute ... Cardiology #EKG #STEMI
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 ... Acute pericarditis ... Elevation AcutE ... STEMI Variant ... Brugada syndrome ST
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
patient with 100% Acute ... Remember that RBBB ... normally has ST ... an isolectric ST ... STEMI Criteria misses