18 results
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Suspect STEMI ... > 1 mm in any lead ... b) Concordant STD ... wave > 25% in any lead ... electrocardiogram #ecg
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... have no pain - LAD ... avR - proximal LAD ... in V1, unless LBBB ... #Ischemia #ECG
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis
 • Lead V1 - LBBB Criteria
 •
V1 - LBBB Criteria ... • Lead V1 - RBBB ... aVR - Vereckie Algorithm ... #Algorithm # ... #ecg #telemetry
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 ... Remember that RBBB ... STEMI Criteria misses ... @EM_RESUS #LAD
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Recognize this #ECG ... Reciprocal STD in ... STD in V2 (posterior ... #STEMI #InferoPosterior
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
LAD IWMI LAHB ... drugs Pacemaker ST ... Elevation AcutE STEMI ... Brugada syndrome ST ... #LBBB #IVED #WPW
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... anterior descending (LAD ... 1) Upsloping ST ... DeWinter #TWaves #ECG
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
for diagnosing STEMI ... presence of a LBBB ... ≥ 1mm (in any lead ... B: Concordant STD ... Modified #Criteria #LBBB
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... HOCM- dagger Q lat ... inf leads, LVH, LAE ... (<360ms) PE: RBBB ... Syncope #Syndromes #ECG
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... The name STEMI ... believe that the ST ... segment is the only ECG ... #Differential #Algorithm