12 results
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
The electrocardiogram ... in the ACS patient ... oriented ST-segment elevation ... Diagnosis #Cardiology #ECG ... #EKG #STEMI #Equivalents
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
So ANY ST Elevation ... have ’relative elevation ... STEMI Criteria misses ... - Sam Ghali, M.D ... #EKG #Electrocardiogram
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
without meeting ST elevation ... criteria • Posterior ... MyocardialInfarction #OMI #STEMI ... diagnosis #cardiology #electrocardiogram ... #ecg #ekg
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... ) Upsloping ST elevation ... #EKG #Electrocardiogram ... Diagnosis #Cardiology #Criteria
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... point • De Winter syndrome ... 3 (modified) - ... #EKG #diagnosis ... differential #cardiology #electrocardiogram
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... lead V6 has ST elevation ... #Modified #EKG ... #Electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... Criteria - Diagnostic ... - Suspect STEMI ... #Checklist #EKG ... #electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
in ACS patients ... aVR instead of ACS ... • Vereckei criteria ... VT than Brugada criteria ... #electrocardiogram
STEMI with Tombstones and Shark Fins

Here’s a deadly ECG with Tombstones AND Shark Fins. When you
STEMI with Tombstones ... this you must act ... - Sam Ghali, M.D ... @EM_RESUS #STEMI ... #ekg #electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Diagnostic Criteria ... Absence of ST elevation ... aVR - “Normal” STEMI ... #EKG #Clinical ... #Electrocardiogram