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

1) Upsloping
ECG Pattern STEMI ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
meeting ST elevation criteria ... • Hyperacute T Waves ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology ... #electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... Criteria - Diagnostic ... - Suspect STEMI ... #electrocardiogram ... #ecg #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... 3 (modified) - ... #differential #cardiology ... #electrocardiogram
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... elevation 2.5mm/S-wave ... #Modified #EKG ... #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... Equivalents / Don't Miss Signs ... - starts below ... #electrocardiogram ... #cardiology #STEMI
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... STEMI Criteria misses ... Occlusion #Total #ECG ... #EKG #Electrocardiogram ... #Clinical #Cardiology
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
It starts as sinus ... probable inferior STEMI ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
narrow-based T Waves ... • Pseudo-STEMI ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Hyperkalemia after Missed Hemodialysis - Initial electrocardiogram showed peaked T waves and a prolonged QT segment
Hemodialysis - Initial electrocardiogram ... showed peaked T waves ... segment (Panel A) #Clinical ... #Cardiology #EM ... #EKG #Hyperkalemia