28 results
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Elevations - ACUTE STEMI ... ) - BRUGADA SIGN ... PERICARDITIS - HYPERKALEMIA ... SPIKED HELMET SIGN ... #STElevation #STEMI
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
Hyperkalemia on ... EKG "Mild" Hyperkalemia ... machine "Moderate" Hyperkalemia ... waves • Pseudo-STEMI ... #EKG #ECG #electrocardiogram
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
- Sam Ghali, ... Occlusion #ECG #EKG #STEMI ... Clinical #ECG #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
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
Hyperkalemia EKG ... Computer is calling STEMI ... classic “Pseudo-STEMI ... - Sam Ghali, M.D ... #EKG #ECG #Electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... Equivalents / Don't Miss Signs ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... V2 • Wellens sign ... pain • Wellens sign ... differential #cardiology #electrocardiogram
21-Hydroxylase Deficiency (21-OHD): Pathogenesis and Clinical Findings
Autosomal recessive mutation in CYP21A2 coding for the enzyme 21-OHase
wasting crisis & hyperkalemia ... Signs/Symptoms/Complications ... : • Hyperkalemia ... #21HydroxylaseDeficiency #21OHD #pathophysiology
Hyperkalemia (9.5) on ECG

ECG of an unconscious young man thought to be in "V-Tach"

His rate is
Hyperkalemia (9.5 ... is <120, think Hyperkalemia ... Sam Ghali, M.D. ... @EM_RESUS #Hyperkalemia ... #ECG #EKG #Electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... STE: "Pardee's sign ... (Eiffel Tower sign ... STElevation #ST #STEMI ... cardiology #ecg #ekg #electrocardiogram