13 results
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
without meeting ST ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology ... #electrocardiogram ... #ecg #ekg
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... descending (LAD) occlusion ... 1) Upsloping ST ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
100% Acute LAD Occlusion ... STEMI Criteria misses ... #Total #ECG #EKG ... #Electrocardiogram ... #Clinical #Cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... believe that the ST ... segment is the only ECG ... predictive of occlusion ... #cardiology #occlusionMI
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
Note there is ST ... in aVR, a true sign ... sign of left main ... occlusion. ... Clinical #EM #IM #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
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anterior descending occlusions ... before or after STEMI ... - look for ST ... #ECG #Electrocardiogram ... #diagnosis #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V2 • Wellens sign ... pain • Wellens sign ... #differential #cardiology ... #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... #electrocardiogram ... #cardiology #STEMI
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
hour had a 100% occlusion ... ST elevations in ... with reciprocal st ... #ECG #EKG #Electrocardiogram ... #POCUS
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
1 - Widespread ST ... depression; In aVR: ST ... Normalization Spodick's sign ... #ECG #electrocardiogram ... #cardiology #diagnosis