5 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... big R or R/S>I STEMI ... bigger than QRS - deWinter ... in V1, unless LBBB
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
diagnosing MI in LBBB ... or Pacemaker LBBB ... Criteria - Suspect STEMI ... a) Concordant STE ... V1-V3 c) STE
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
for diagnosing STEMI ... presence of a LBBB ... A: Concordant STE ... C: Discordant STE ... Modified #Criteria #LBBB
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Upsloping convex STE ... morphology similar to LBBB ... Other Causes - STE ... STElevation #ST #STEMI
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
occur with subtle STE ... be considered a STEMI ... Cardiology #EKG #ECG #DeWinters