11 results
Criteria for LBBB RBBB LAFB LPFB #Diagnosis #EM #IM #Cardiology #EKG #RBBB #LBBB #Criteria #LAFB #LPFB
Criteria for LBBB ... RBBB LAFB LPFB ... #Diagnosis #EM # ... EKG #RBBB #LBBB ... #Criteria #LAFB
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Differential Diagnosis ... for ST Segment ... EMBOLISM - LBBB ... #Differential # ... Diagnosis #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Remember that RBBB ... normally has ST ... segment should ... STEMI Criteria misses ... #Clinical #Cardiology
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
urgent treatment, STEMI ... patients with ST ... features of the EKG ... : #Diagnosis #Cardiology ... #STSegment #Differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
of ST segment at ... transitioning in a convex ST-segment ... indistinguishable from ST-segment ... #EKG #diagnosis ... #differential #
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
for diagnosing ... Discordance" = ST ... - Suspect STEMI ... #Checklist #EKG ... #cardiology #lbbb
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
believe that the ST ... segment is the ... only ECG finding ... Algorithm #cardiology ... myocardial #infarction #diagnosis
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
long QT via long ST ... , LAFB/LPFB (see ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Elevation - Differential ... Diagnosis Framework ... morphology similar to LBBB ... #STEMI #Segment ... #diagnosis #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... in V1, unless LBBB ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential