12 results
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... anterior descending (LAD ... in aVR (>= 1 mm ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... ) in WPW: ST elevation ... #electrocardiogram ... #diagnosis #ekg ... #differential #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... STEMI Criteria misses ... - Sam Ghali, M.D ... #EKG #Electrocardiogram ... #Clinical #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
before or after STEMI ... - look for ST elevation ... in aVR (0.5-1mm ... #ECG #Electrocardiogram ... #diagnosis #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
leads with STE in avR ... inversion - STE avR ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... isolated to I & aVL ... - Sam Ghali, ... #EKG #Electrocardiogram ... #Cardiology #Clinical
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... in aVR • Posterior ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
ve in I, II - LAD ... boxes) - HiPR: AV ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... #ST #STEMI #Segment ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
abberancy - N B Afib + WPW ... different P waves in lead ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential