39 results
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 ... 2: • ST elevations ... EKG #ECG #diagnosis
Brugada syndrome Types 1, 2 and 3

There are three types of ECG presentations, referred to as
of ECG presentations ... The ST segment elevation ... tail”) in V1, V2 ... the ST segment elevation ... #Diagnosis #ECG
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
Winter T-Waves on EKG ... - look for ST elevation ... point usually V2 ... DeWinter #TWaves #EKG ... #ECG #Electrocardiogram
ECG characteristics in Brugada Syndrome
 a. Broad P wave with some PQ prolongation
 b. J point
ECG characteristics ... J point elevation ... Coved type ST segment ... elevation d. ... #Diagnosis #ECG
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
-
Wellens Syndrome on EKG ... Abnormal T-wave in V2 ... Isoelectric ST segment Type ... T-wave Inversion Type ... #ecg #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... a tall R in V1/V2 ... S ratio > 1 in V2 ... #Equivalents #ECG ... #EKG #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
anteroseptal leads (V2 ... rSR' in V1 and V2 ... in V1 and V2 typically ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
Progression of EKG changes in Acute Coronary Syndrome (ACS)
Hyperacute T waves:
 • Broad-based and symmetrical, usually
Progression of EKG ... /S ratio >1 ST elevation ... : • New ST elevation ... mV • In leads V2 ... SatyaPatelMD #EKG
Paced Rhythm ECG - Sgarbossa Positve

ECG A is the patient’s baseline ECG.  ECG B shows
Paced Rhythm ECG ... Sgarbossa Positve ECG ... patient’s baseline ECG ... discordance (>5mm) in V2 ... concordant ST elevation
Differentiating type-I vs. type-II MI

Sorting this out is difficult, often relying heavily on clinical judgement.

A key
Differentiating type-I ... vs. type-II MI ... give someone 500 mcg ... pain and troponin elevation ... #Versus #Type1