15 results
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
The electrocardiogram ... in the ACS patient ... anatomically oriented ST-segment ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI
Progression of EKG changes in ACS
 • Hyperacute T waves
 • ST depression and T waves
changes in ACS ... Hyperacute T waves • ST ... waves changes • ST ... #ACS #ECG #electrocardiogram ... #Timeline #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... elevation: Differential ... #electrocardiogram ... #differential # ... cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
OMI vs STEMI - Differential ... believe that the ST ... segment is the only ECG ... #OMI #STEMI #Differential ... #Algorithm #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... of the leads l, aVL ... #Equivalents #ECG ... #differential # ... cardiology #electrocardiogram
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
imitator" • ↓ K - ST ... long QT via long ST ... #diagnosis #cardiology ... #electrocardiogram ... #differential
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... wave inversion in avL ... #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Elevation - Differential ... in aVR, not in aVL ... Segment #Elevation #differential ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
• Upsloping ST-Depression ... in lead aVR ± aVL ... DeWinters #TWaves #EKG ... #ECG #diagnosis ... #cardiology #electrocardiogram
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
atrial rhythm with ST ... The mother of all ... #clinical #cardiology ... #electrocardiogram ... #ecg