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

1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... 1) Upsloping ST ... TWaves #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Hyperkalemia after Missed Hemodialysis - Initial electrocardiogram showed peaked T waves and a prolonged QT segment
Hyperkalemia after ... Hemodialysis - Initial electrocardiogram ... A) #Clinical #Cardiology ... #EM #EKG #Hyperkalemia ... #PeakedT #NEJM
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... Total #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... have no pain - LAD ... avR - proximal LAD ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ST ... with reciprocal ST ... in aVL and in lead ... suggestive of STEMI ... #Clinical #EM #Cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... atrial rhythm with ST ... all wraparound LAD ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... ventricle pacing lead ... Disorders: • Hyperkalemia ... #STEMI #Segment ... #ecg #ekg #electrocardiogram
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
Hyperkalemia EKG ... Computer is calling STEMI ... classic “Pseudo-STEMI ... #EKG #ECG #Electrocardiogram ... #Cardiology #Clinical
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... similar but this ST ... @EM_RESUS #STEMI ... Diagonal1 #ECG #EKG #Electrocardiogram ... #Cardiology #Clinical
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Discordance" = ST ... Criteria - Suspect STEMI ... > 1 mm in any lead ... Checklist #EKG #electrocardiogram ... #ecg #cardiology