11 results
The Evolution of STEMI ECG Changes 

#STEMI #Evolution #Timeline #EKG #ECG #cardiology #Electrocardiogram
STEMI ECG Changes ... #STEMI #Evolution ... #Timeline #EKG ... #ECG #cardiology ... #Electrocardiogram
Beat-to-beat evolution of ECG changes from hyperkalemia (induced by succinylcholine). 

https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(19)30838-4/fulltext

#Hyperkalemia #ECG #EKG #Evolution #Changes #Electrocardiogram
of ECG changes ... from hyperkalemia ... #ECG #EKG #Evolution ... #Changes #Electrocardiogram ... #Clinical #Cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... anterior descending (LAD ... ) Upsloping ST elevation ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... So ANY ST Elevation ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
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 ... #EKG #ECG #Electrocardiogram ... #Cardiology #Clinical
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... on EKG 47 year ... rhythm with ST elevations ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
deWinter T waves - starts ... have no pain - LAD ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... dissection • Sodium-channel ... #ST #STEMI #Segment ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Variable troponin elevation ... on tele/ECG that ... resolves with resolution ... tests in cath lab ... Prinzmetal #Angina #cardiology
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... V6 has ST elevation ... #Modified #EKG ... #Electrocardiogram ... #Clinical #Cardiology