27 results
ST depression & T wave inversion causes #Pathophys #Diagnosis #Cardiology #MedStudent #EKG #Differential #TWI #STD #TWaveInversion
ST depression & ... wave inversion causes ... Differential #TWI #STD
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- J point STE > ... 0.5mm downgoing ST ... have no pain - LAD ... avR - proximal LAD ... - STE V1 >V2
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
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Discordance" = ST ... Criteria - Suspect STEMI ... a) Concordant STE ... b) Concordant STD ... V1-V3 c) STE
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
Causes of ST Elevation in ECG

#STElevation #STEMI #ECG #EKG #Electrocardiogram #Causes #Differential #ABCHELP #Mnemonic
Causes of ST Elevation ... #STElevation #STEMI ... Electrocardiogram #Causes
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 ... So ANY ST Elevation ... an isolectric ST ... STEMI Criteria misses
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Diagnosis Framework STEMI ... ventricle pacing lead ... voltage Other Causes ... #STEMI #Segment
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