11 results
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
(OMI) without 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 ... Equivalent - Left ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram ... Diagnosis #Cardiology #Criteria
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... EKG - Anterior OMI ... before or after STEMI ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #Electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
ECGs - Ischemia MI ... Equivalents / Don't ... early inferior MI ... EKG #diagnosis #electrocardiogram ... #Equivalents #Interpretation
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... V6 • Sgarbossa criterion ... • Sgarbossa criterion ... #Equivalents #ECG ... differential #cardiology #electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... for diagnosing MI ... - Suspect STEMI ... #Sgarbossa #Criteria ... Checklist #EKG #electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
STEMI Criteria misses ... - Sam Ghali, M.D ... Total #ECG #EKG #Electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... Diagnostic Criteria ... aVR - “Normal” STEMI ... #DeWinter #TWaves ... EKG #Clinical #Electrocardiogram
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... by D1 of LAD & OM1 ... - Sam Ghali, ... @EM_RESUS #STEMI ... Diagonal1 #ECG #EKG #Electrocardiogram
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... criteria in the ... original Sgarbossa criteria ... elevation 2.5mm/S-wave ... Modified #EKG #Electrocardiogram