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Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
need for urgent treatment ... patients with ST elevations ... features of the EKG ... : #Diagnosis #Cardiology ... #EKG #ECG #STElevation
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Widespread ST elevation ... Normalization Spodick's sign ... segments, usually best ... #ECG #electrocardiogram ... #cardiology #diagnosis
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
for ST Segment Elevations ... ACUTE STEMI - PULMONARY ... ) - BRUGADA SIGN ... SPIKED HELMET SIGN ... Differential #Diagnosis #Cardiology
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
in aVR, a true sign ... state that ST elevation ... aVR is a good ECG ... sign of left main ... Clinical #EM #IM #Cardiology
#EKG taken on a patient with an acute pulmonary embolism with right heart strain showing tachycardia,
#EKG taken on a ... with an acute pulmonary ... pulmonaryembolism #AcutePE #criticalcare ... #cardiology #ECG
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
• Hypoxia • Pulmonary ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Pericarditis can be seen on EKG with diffuse ST elevations without reciprocal changes along with diffuse
can be seen on EKG ... with diffuse ST elevations ... First line treatment ... #Pericarditis #Cardiology ... #Diagnosis #Signs
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... V2 • Wellens sign ... pain • Wellens sign ... #Equivalents #ECG ... #differential #cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
Variable troponin elevation ... changes on tele/ECG ... perform provocative tests ... in cath lab Treatment ... Prinzmetal #Angina #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... QRS complex Pulmonary ... (Eiffel Tower sign ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram