21 results
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
The electrocardiogram ... anatomically oriented ST-segment ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... 1) Upsloping ST ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
3 ECG patterns for ... without meeting ST ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology ... #electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... RBBB normally has ST ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
before or after STEMI ... - look for ST ... waves - Upsloping ST ... #ECG #Electrocardiogram ... #diagnosis #cardiology
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
urgent treatment, STEMI ... patients with ST ... : #Diagnosis #Cardiology ... #EKG #ECG #STElevation ... #STSegment #Differential
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential ... believe that the ST ... segment is the only ECG ... #Differential # ... Algorithm #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... on ECG • Conventional ... #Equivalents #ECG ... #differential # ... cardiology #electrocardiogram
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
Hyperkalemia on EKG ... QRS widening • Sinus ... waves • Pseudo-STEMI ... #ECG #electrocardiogram ... #cardiology #diagnosis