2023 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... leads, except • V2 ... • DDx: Acute STEMI ... big R or R/S>I STEMI ... depression in V2
Acute Coronary Syndrome - Management Algorithm
 • STEMI
 • NSTEMI (Troponin Positive) / Unstable Angina (UA,
Syndrome - Management Algorithm ... • STEMINSTEMI ... ACS #Management #Algorithm
ST Elevation Myocardial Infarction (STEMI)

Criteria:
• New ST-segment elevation at the J point in 2 contiguous leads
Myocardial Infarction (STEMI ... leads other than V2 ... • In leads V2- ... Myocardial #Infarction #STEMI
Unstable Angina vs NSTEMI vs STEMI

#differential #Chestpain; #NSTEMI; #STEMI; #Unstableangina; #Angina 

Image Source: De Virgilio, C.,
Unstable Angina vs NSTEMI ... vs STEMI #differential ... #Chestpain; #NSTEMI ... ; #STEMI; #Unstableangina
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Unstable Angina, NSTEMI ... , STEMI 1 STABLE ... - During an NSTEMI ... myocardium. 4 STEMI ... - A STEMI is
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI vs STEMI ... - Differential Algorithm ... The name STEMI ... #ACS #OMI #STEMI ... #Differential #Algorithm
Acute Chest Pain: a basic differential diagnosis to consider, and key points

#Chestpain; #STEMI; #NSTEMI; 

Image Source:
#Chestpain; #STEMI ... ; #NSTEMI; Image
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
before or after STEMI ... point usually V2
Coronary anatomy and relevant EKG changes during acute chest pain

#Chestpain;#STEMI;#NSTEMI;#EKG

Image Source: De Virgilio, C., Grigorian, A.,
#Chestpain;#STEMI ... ;#NSTEMI;#EKG
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... aVR • Posterior STEMI ... a tall R in V1/V2 ... S ratio > 1 in V2