15 results
Left Main Coronary Artery Occlusion on ECG

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

1) Upsloping
Pattern STEMI ... Equivalent - Left anterior ... ) Upsloping ST elevation ... in aVR (>= 1 mm ... #Diagnosis #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 ... elevation in aVR ... #AVR #leadAVR #ecg ... #differential #cardiology
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
- ACUTE STEMI ... BRUGADA SIGN (SYNDROME ... ) - CORONARY ... #STSegment #STElevation ... #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
before or after STEMI ... - look for ST elevation ... in aVR (0.5-1mm ... #ECG #Electrocardiogram ... #diagnosis #cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
cognitively inspires EPs ... segment is the only ECG ... Differential #Algorithm #cardiology ... infarction #diagnosis #coronary ... #syndrome
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... point • De Winter syndrome ... with 1-2 mm ST elevation ... modified) - ST elevation ... #differential #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
RBBB normally has ... So ANY ST Elevation ... have ’relative elevation ... STEMI Criteria misses ... #Clinical #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
of ST Segment Elevation ... anteroseptal and inferior ... blocking drugs #STElevation ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
ST elevation with ... depression in aVL ... in V1) with ST elevation ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior