26 results
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Left Main Coronary ... Artery Occlusion ... on ECG - aVR ... #Electrocardiogram ... #Cardiology #Criteria
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
descending (LAD) occlusion ... ST elevation in aVR ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... meeting ST elevation criteria ... @jonnywatt #Occlusion ... equivalent #diagnosis #cardiology ... #electrocardiogram
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
cognitively inspires EPs ... segment is the only ECG ... predictive of occlusion ... Differential #Algorithm #cardiology ... infarction #diagnosis #coronary
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
100% Acute LAD Occlusion ... RBBB normally has ... STEMI Criteria misses ... #Electrocardiogram ... #Clinical #Cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... • LMCA clusvon has ... #AVR #leadAVR #ecg ... #electrocardiogram ... #differential #cardiology
Normal Sinus Rhythm - ECG Diagnosis
Normal sinus rhythm (NSR) is an impulse that originates in the
• inverted in aVR ... V6 (in 12-lead ECG ... SinusRhythm #nsr #cardiology ... #ecg #electrocardiogram ... #criteria
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
Winter T-Waves on EKG ... anterior descending occlusions ... ST elevation in aVR ... #ECG #Electrocardiogram ... #diagnosis #cardiology
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
for proximal LAD occlusion ... • STE in lead aVR ... #TWaves #EKG #ECG ... #diagnosis #cardiology ... #electrocardiogram
Second Degree Heart Block, Mobitz Type II

• p waves are normal 
• QRS complexes are usually
block is below the AV ... generally in the His-Purkinje ... HeartBlock #Diagnosis #Cardiology ... #EKG #ECG #Electrocardiogram