14 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
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
3 ECG patterns for ... Acute Occlusion ... meeting ST elevation criteria ... equivalent #diagnosis #cardiology ... #electrocardiogram
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI ... cognitively inspires EPs ... segment is the only ECG ... Differential #Algorithm #cardiology ... infarction #diagnosis #coronary
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
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... a high mortality ... #AVR #leadAVR #ecg ... #electrocardiogram ... #differential #cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
- Anterior OMI ... anterior descending occlusions ... ST elevation in aVR ... #ECG #Electrocardiogram ... #diagnosis #cardiology
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 ... STEMI Criteria misses ... #Electrocardiogram ... #Clinical #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
High rate in <1 ... anterior wall MI ... 'widow maker' lesion ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
isolated to I & aVL ... by D1 of LAD & OM1 ... 100% proximal occlusion ... #EKG #Electrocardiogram ... #Cardiology #Clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
leads with STE in avR ... inversion - STE avR ... proximal LAD or high ... #electrocardiogram ... #cardiology #STEMI