8 results
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Equivalent - Left ... anterior descending ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... #ECG #EKG #Electrocardiogram
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
elevation in inferior ... supplying the inferior ... addition to the anterior ... #Clinical #EM #Cardiology ... #EKG #DeWinter
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... sign A - Biphasic anterior ... Deeply inverted anterior ... asymmetrical, broad-based anterior ... inversions in the anterior
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... or R/S>I STEMI Equivalents ... in avL - early inferior ... #EKG #diagnosis ... cardiology #STEMI #Equivalents
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Embolism The sensitivity ... evaluating for other causes ... • Dominant R Wave ... Leads (VI-V3) +/- Inferior ... #Embolism #AcutePE
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... complex Pulmonary Embolism ... anteroseptal and inferior ... voltage Other Causes ... #ekg #electrocardiogram
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Patient has t-wave ... inversions V1-V4 plus inferior ... seen in 34% of cases
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ... ST elevation with ... conduction delay (R'-wave ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior