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

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... DeWinter #TWaves #ECG ... #EKG #Electrocardiogram ... #Criteria
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
Normal Sinus Rhythm - ECG Diagnosis
Normal sinus rhythm (NSR) is an impulse that originates in the
- ECG Diagnosis ... ECG Recognition: ... #diagnosis #ekg ... #ecg #electrocardiogram ... #criteria
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
ASAP: STEMI NSTEMI ... Recurrent/persistent rest ... Sustained ventricular arrhythmia ... low (1-2) risk, +ECG ... catheterization #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... aVR • Classic EKG ... findings: Sinus ... #AVR #leadAVR #ecg ... #diagnosis #ekg
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... #Ischemia #ECG ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Sgarbossa Positive ECG ... of conventional STEMI ... #Modified #EKG ... #Electrocardiogram ... #Clinical #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... - Suspect STEMI ... Diagnosis #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... #Approach #ECG ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram