9 results
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... meeting ST elevation criteria ... • Hyperacute T Waves ... #STEMI #equivalent ... diagnosis #cardiology #electrocardiogram
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... descending (LAD) occlusion ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram ... Diagnosis #Cardiology #Criteria
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... Sgarbossa Criteria ... - Suspect STEMI ... #Criteria #Modified ... #electrocardiogram
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
OMI - 2% of left ... anterior descending occlusions ... before or after STEMI ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #Electrocardiogram
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... Sgarbossa criteria ... #ECG #Modified ... #EKG #Electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
point • De Winter syndrome ... criterion 1 - ST ... • Sgarbossa criterion ... 3 (modified) - ... differential #cardiology #electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
100% Acute LAD Occlusion ... STEMI Criteria misses ... - Sam Ghali, M.D ... EM_RESUS #LAD #Occlusion ... #Electrocardiogram
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa ... Criteria for diagnosing ... STEMI in the presence ... amplitude of the S wave ... #Modified #Criteria
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... by D1 of LAD & OM1 ... 100% proximal occlusion ... - Sam Ghali, ... #EKG #Electrocardiogram