37 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... have no pain - LAD ... avR - proximal LAD ... #Ischemia #ECG
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
> 1 mm in any lead ... b) Concordant STD ... wave > 25% in any lead ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... anterior descending (LAD ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... DeWinter #TWaves #ECG
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 ... an isolectric ST ... @EM_RESUS #LAD ... Occlusion #Total #ECG
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... anterior descending (LAD ... aVR • Classic EKG ... QTc interval, RAD ... #AVR #leadAVR #ecg
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
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Wellens Syndrome on EKG ... of the proximal LAD ... - Isoelectric ST ... Wellens #Syndrome #EKG ... #ecg #cardiology
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
Concerning for proximal LAD ... V1-V4 without STE ... in lead aVR ± aVL ... DeWinters #TWaves #EKG ... #ECG #diagnosis
Algorithmic Approach to Anemia - Differential Diagnosis Framework by MCV

Microcytic (MCV < 80) "TAILS":
 • Thalassemia
Algorithmic Approach ... Thalassemia • ACD ... deficiency • Lead ... aciduria, Drugs (e.g ... #Anemia #MCV #Algorithm
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
This patient who had ... cp for 1 hour had ... ST elevations in ... with reciprocal st ... Circumflex #STEMI #ECG
Non-ACS Myocardial Injury - Elevated Troponin Differential Diagnosis and Workup Algorithm

 • Chronic Myocardial Injury: End
Diagnosis and Workup Algorithm ... Microvascular CAD ... Occlusion • Stable ... CAD Dr. ... Differential #Diagnosis #Algorithm