10 results
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
The electrocardiogram ... anatomically oriented ST-segment ... elevation #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #Equivalents
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
- aVR ST segment ... - aVR ST segment ... segment elevation ... #Electrocardiogram ... #Cardiology #Criteria
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
before or after STEMI ... - look for ST elevation ... - Upsloping ST segment ... #ECG #Electrocardiogram ... #diagnosis #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
So ANY ST Elevation ... isolectric ST segment ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... ) Upsloping ST elevation ... in aVR (>= 1 mm ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
depression; In aVR ... Downsloping TP segments ... , usually best seen ... #ECG #electrocardiogram ... #cardiology #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... of ST segment at ... in aVR • Posterior ... #differential #cardiology ... #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... depression in aVR ... #ST #STEMI #Segment ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
- Upsloping ST segment ... elevation (0.5mm ... -1mm) in aVR - ... “Normal” STEMI ... #Electrocardiogram
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... Variable troponin elevation ... • Transient ST segment ... changes on tele/ECG ... Prinzmetal #Angina #cardiology