10 results
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
urgent treatment, STEMI ... patients with ST ... elevations in contiguous ... features of the EKG ... #ECG #STElevation
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... Equivalent - Left anterior ... 1) Upsloping ST ... elevation in aVR ... (>= 1 mm) 2) ST
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... of ST segment at ... contiguous leads ... #EKG #diagnosis
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
before or after STEMI ... - look for ST ... elevation in aVR ... waves - Upsloping ST ... segment - ST depression
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
ST elevation with ... reciprocal ST depression ... wave in V1) with ST ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
is additional ST ... elevation in lateral ... diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
0.5mm downgoing ST ... line; upsloping ST ... vessel disease - ST ... in avL - early inferior ... - R/S >1 or ST
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
anteroseptal and inferior ... Short QT LV Aneurysm ... : • ST elevation ... #ST #STEMI #Segment ... #ekg #electrocardiogram
The ECG shows ST elevation (STE) across the precordium, highest in V2 and V3. There are
The ECG shows ST ... elevation (STE) ... morphology") #Clinical #EM ... #Cardiology #EKG ... #Aneurysm #LVAneurysm
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
precordial leads and ST ... elevation in inferior ... supplying the inferior ... #Clinical #EM #Cardiology ... #EKG #DeWinter