9 results
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 ... addition to the anterior ... #Clinical #EM #Cardiology
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
Hyperacute Inferior ... Biphasic T-wave ... Q-wave in III, early ... classic pattern of Acute ... #Clinical #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
sign A - Biphasic anterior ... Deeply inverted anterior ... asymmetrical, broad-based anterior ... deviation) • Acute ... inversions in the anterior
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
women • DDx: Acute ... in avR - Wellen's ... avR - proximal ... inversion in avL ... - early inferior
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
depression in aVR ... depression in aVR ... anteroseptal and inferior ... weeks following an acute ... Post-cardioversion • Acute
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Acute myocardial ... infarction: ST ... artery (LMCA). left anterior ... overdose: Prominent R wave ... prominent terminal R wave
Benign T-wave Inversion (BTWI) vs. Wellens'
 • Usually in leads V3-V6 (vs. V2-V4 in Wellens'), but
Benign T-wave Inversion ... frequent TWI in inferior ... leads (II/III/aVF ... precordium often has STE ... #Twave #Inversion
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... EKG findings in acute ... • Dominant R Wave ... Leads (VI-V3) +/- Inferior ... in aVR +/- Right
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ... in aVL and in ... conduction delay (R'-wave ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior