19 results
Suspected ACS - OMI vs STEMI - Differential Algorithm

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

1) Upsloping
Pattern STEMI ... Equivalent - Left anterior ... descending (LAD) occlusion ... DeWinter #TWaves #ECG ... #Diagnosis #Cardiology
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Acute Coronary Syndrome ... causing partial occlusion ... causes partial occlusion ... is reflected by ECG ... #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
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- Anterior OMI ... - 2% of left anterior ... descending occlusions ... before or after STEMI ... #diagnosis #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... point • De Winter syndrome ... V2 • Wellens sign ... #EKG #diagnosis ... #differential #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... Equivalents / Don't Miss Signs ... in avL - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology
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
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
Wellen's Syndrome ... specific for a critical ... stenosis of the left anterior ... Classification #Types #Cardiology ... #Diagnosis
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