23 results
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential ... segment is the only ECG ... #Differential # ... Algorithm #cardiology ... #infarction #diagnosis
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... Equivalent - Left anterior ... descending (LAD) occlusion ... #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
- Anterior OMI ... descending occlusions ... before or after STEMI ... #ECG #Electrocardiogram ... #diagnosis #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... in avL - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Hyperacute Inferior ... pattern of Acute RCA Occlusion ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
fibrillation Clinical ... No prognostic value ... #Differential # ... Cardiology #EKG ... #ECG #Hypothermia
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
wall STEMI, in ... Cardiogenic shock, ECG ... predicted Left main occlusion ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... becoming acute anterior ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Humeral Avulsion of the Inferior Glenohumeral Ligament (HAGL)
 • Imaging Findings:
 • Large defect of the
Differential diagnosis ... GAGL): "Reverse J sign ... Ligament #shoulder #clinical ... #mri #clinical ... #Radiology #diagnosis