9 results
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... meeting ST elevation ... criteria • Posterior ... #STEMI #equivalent ... diagnosis #cardiology #electrocardiogram
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... OMI vs STEMI - Differential ... segment is the only ECG ... #OMI #STEMI #Differential ... diagnosis #coronary #syndrome
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
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

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