11 results
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... #Electrocardiogram ... #Diagnosis #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... Discordance" = ST ... - Suspect STEMI ... #EKG #electrocardiogram ... #ecg #cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
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on EKG - Anterior ... before or after STEMI ... #TWaves #EKG #ECG ... #Electrocardiogram ... #diagnosis #cardiology
How should the modified Sgarbossa Criteria be used in initial evaluation of patients with suspected AMI
How should the modified ... (Validated) - ST ... NOT Validated) #Diagnosis ... #Cardiology #ModifiedSgarbossa ... Evaluation #Algorithm #RebelEM
The modified Sgarbossa Rule uses proportions to identify acute AMI in the setting of ST-elevations in
The modified Sgarbossa ... in LBBB - Ratio ... indicative of acute MI #Diagnosis ... #EM #Cardiology ... #Modified #Sgarbossa
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... 3 (modified) - ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
What is the new modified Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead
-
What is the new modified ... Sgarbossa Criteria ... Ratio ≤ -0.25 #Diagnosis ... Criteria #STSRatio #LBBB ... #RebelEM
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... in lead V6 has ST ... #ECG #Modified ... #EKG #Electrocardiogram
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa ... STEMI in the presence ... of a LBBB If there ... #Cardiology #Sgarbossa ... #LBBB
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
bigger than QRS - deWinter ... in V1, unless LBBB ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI