11 results
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Left Main Coronary ... on ECG - aVR ... #ECG #EKG #Diagnosis ... #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
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
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... only looks at aVR ... #AVR #leadAVR #ecg ... #electrocardiogram ... #differential #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
RBBB normally has ... STEMI Criteria misses ... #Total #ECG #EKG ... #Electrocardiogram ... #Clinical #Cardiology
Second Degree Heart Block, Mobitz Type II

• p waves are normal 
• QRS complexes are usually
Second Degree Heart Block ... is below the AV ... generally in the His-Purkinje ... HeartBlock #Diagnosis #Cardiology ... #EKG #ECG #Electrocardiogram
Atrioventricular (AV) Blocks

First Degree AV Block - "If your R is far from your P than
node (His bundle ... node, His Bundle ... #heartblock #cardiology ... #ecg #ekg #diagnosis ... #electrocardiogram
Atrioventricular Blocks (AV blocks) - ECG Diagnosis Summary
First Degree AV Block
 • The P wave is
(AV blocks) - ECG ... group-beating" on the ECG ... but the P wave has ... #AVBlock #cardiology ... #electrocardiogram
Third Degree AV Block aka Complete Heart Block
 • In sinus rhythm with complete AV block,
Heart Block • ... but the P wave has ... AVBlock #Complete #cardiology ... #ekg #ecg #diagnosis ... #electrocardiogram
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
due to vascular occlusion ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... lesions, heart block ... diagnosis #management #cardiology