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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... #TWaves #ECG #EKG ... #Diagnosis #Cardiology ... #Criteria
What is the new modified Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead
-
Sgarbossa Criteria ... - Concordant ST-segment ... - Concordant ST-segment ... #Cardiology #ModifiedSgarbossa ... #LBBB #RebelEM
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... or after STEMI ... segment - ST depression ... #TWaves #EKG #ECG ... #diagnosis #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... Criteria - Diagnostic ... Sgarbossa Criteria ... #EKG #electrocardiogram ... #ecg #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
that RBBB normally ... segment should ... STEMI Criteria misses ... #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
of ST segment at ... criterion 1 - ST ... criterion 2 - ST ... • Sgarbossa criterion ... #EKG #diagnosis
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa ... Criteria for diagnosing ... changes (ST segments ... #Cardiology #Sgarbossa ... #Modified #Criteria
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... Sgarbossa criteria ... #ECG #Modified ... #EKG #Electrocardiogram
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
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Framework STEMI ... morphology similar to LBBB ... #STEMI #Segment ... #cardiology #ecg ... #ekg #electrocardiogram