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

1) Upsloping
ECG Pattern STEMI ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Hyperkalemia after Missed Hemodialysis - Initial electrocardiogram showed peaked T waves and a prolonged QT segment
Hemodialysis - Initial electrocardiogram ... showed peaked T waves ... A) #Clinical #Cardiology ... #EM #EKG #Hyperkalemia ... #PeakedT #NEJM
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
before or after STEMI ... - look for ST ... - Upsloping ST ... #EKG #ECG #Electrocardiogram ... #diagnosis #cardiology
EKG showing prominent U waves due to hypokalemia. Serum potassium 2.0. 

#EKG #emergencymedicine #criticalcare #cardiology #internalmedicine
due to hypokalemia ... #criticalcare #cardiology ... internalmedicine #EM ... #diagnosis #Electrocardiogram ... #ECG #UWaves
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... aVR • Posterior STEMI ... #differential #cardiology ... #electrocardiogram
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
without meeting ST ... • Hyperacute T Waves ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology ... #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... 0.5mm downgoing ST ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Disorders: • Hyperkalemia ... • Hypercalcemia ... #STEMI #Segment ... #ecg #ekg #electrocardiogram
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
narrow-based T Waves ... • Pseudo-STEMI ... rhythm • "Sine wave ... #EKG #ECG #electrocardiogram ... #cardiology #diagnosis
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Discordance" = ST ... and T waves in ... Criteria - Suspect STEMI ... Checklist #EKG #electrocardiogram ... #ecg #cardiology