210 results
ST Elevation Myocardial Infarction (STEMI)

Criteria:
• New ST-segment elevation at the J point in 2 contiguous leads
ST Elevation Myocardial ... New ST-segment elevation ... leads other than V2 ... • In leads V2- ... STEMI #diagnosis #cardiology
Sgarbossa Criteria A - Concordant ST segment elevation of >1m, in any lead | Sgarbossa Criteria
Concordant ST segment elevation ... 1mm in leads V1, V2 ... Disconcordant ST segment elevation ... lead #Diagnosis #Cardiology
ST segment elevation in acute myocardial ischemia

ST segment elevations with straight (horizontal, upsloping or downsloping) or
ST segment elevation ... ischemia ST segment elevations ... Concave ST segment elevations ... Concave ST segment elevations ... #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
- look for ST elevation ... point usually V2 ... Electrocardiogram #diagnosis #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
of ST Segment Elevation ... anteroseptal leads (V2 ... rSR' in V1 and V2 ... in V1 and V2 typically ... differential #diagnosis #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Conventional STEMI - Elevation ... with 1-2 mm ST elevation ... a tall R in V1/V2 ... S ratio > 1 in V2 ... #differential #cardiology
Hypertrophic Obstructive Cardiomyopathy: Heart Murmur
 • Occurs during systole 
 • Crescendo-decrescendo murmur
 • Heard best
Decrease intensity: elevations ... squatting, leg elevation ... Murmur #Cardiac #Cardiology
Brugada Syndrome - EKG Characteristics
Patients with Brugada have a pseudo-RBBB and persistent ST elevations in V1-V2.
Type
persistent ST elevations ... in V1-V2. ... Type 1: • ST elevations ... Type 2: • ST elevations
Progression of EKG changes in Acute Coronary Syndrome (ACS)
Hyperacute T waves:
 • Broad-based and symmetrical, usually
/S ratio >1 ST elevation ... : • New ST elevation ... leads other than V2 ... mV • In leads V2 ... complex in leads V2
Reperfusion Management of Myocardial Infarction with ST-segment Elevation (STEMI)

#STEMI #PCI #Fibrinolysis #Transfer #Reperfusion #Algorithm #Timeline #Cardiology
with ST-segment Elevation ... #Reperfusion #Algorithm ... #Timeline #Cardiology