34 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... have no pain - LAD ... avR - proximal LAD ... infarct, get a 15 lead ... electrocardiogram #cardiology #STEMI
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Discordance" = ST ... Criteria - Suspect STEMI ... > 1 mm in any lead ... b) Concordant STD ... wave > 25% in any lead
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
: “Nonspecific ST ... STE in II, III, ... Reciprocal STD in ... STD in V2 (posterior ... Cardiology #EKG #STEMI
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
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
for diagnosing STEMI ... is concordant ST ... or a discordant ST ... ≥ 1mm (in any lead ... B: Concordant STD
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
Reperfusion Management of Myocardial Infarction with ST-segment Elevation (STEMI)

#STEMI #PCI #Fibrinolysis #Transfer #Reperfusion #Algorithm #Timeline #Cardiology
Infarction with ST-segment ... Elevation (STEMI ... ) #STEMI #PCI ... #Reperfusion #Algorithm
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI vs STEMI ... - Differential Algorithm ... The name STEMI ... believe that the ST ... #Differential #Algorithm
Management of patients with known or suspected malignant pleural effusion (MPE) - An Official ATS/STS/STR Clinical
known or suspected malignant ... An Official ATS/STS ... /STR Clinical Practice ... #Malignant #Pleural ... Effusions #MPE #Algorithm
Acute Pharyngitis: Differential Diagnosis
Infectious:
 • Respiratory viruses (25-45%)
 • Group A Strep (5-15%)
 • Other bacteria:
Pharyngeal tularemia • STDs ... intubation) • Malignancy