2190 results
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
EKG: afib, twi I ... rwp with 1-2mm ste ... Next step?
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
Note there is ST ... authors state that ST ... aVR is a good ECG ... IM #Cardiology #EKG ... #STElevations #STE
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... specificity for EKG ... EKG is helpful in ... • Non-specific ST-T ... Changes • STE
Benign Early Repolarization (BER) on EKG
 • Widespread concave STE most prominent in mid-to-left precordium (V2-V5)
Repolarization (BER) on EKG ... Widespread concave STE ... QRS complex) • STE ... Repolarization #BER #EKG ... #ECG #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... STEMI - J point STE ... inversion - STE ... #Ischemia #ECG ... #EKG #diagnosis
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Discordance" = ST ... a) Concordant STE ... V1-V3 c) STE ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
• Upsloping ST-Depression ... V1-V4 without STE ... leads V1-V4 • STE ... DeWinters #TWaves #EKG ... #ECG #diagnosis
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... : “Nonspecific ST ... Recognize this #ECG ... STE in II, III, ... Clinical #Cardiology #EKG
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
QT, Osborn J (see ... long QT via long ST ... Brugada 1 - Coved STE ... Syncope #Syndromes #ECG ... #EKG #Checklist
The ECG shows ST elevation (STE) across the precordium, highest in V2 and V3. There are
The ECG shows ST ... elevation (STE) ... Persistent STE after ... EM #Cardiology #EKG