11 results
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... - Suspect STEMI ... V1-V3 c) STE ... #Sgarbossa #Criteria ... Diagnosis #Checklist #EKG
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... new/old infarct STEMI ... women • DDx: Acute ... in V1, unless LBBB ... #EKG #diagnosis
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... patient with 100% Acute ... Remember that RBBB ... STEMI Criteria misses ... #EKG #Electrocardiogram
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 ... MyocardialInfarction #OMI #STEMI ... #ekg
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... findings in acute ... Incomplete or Complete RBBB ... ST-T Changes • STE ... #Embolism #AcutePE
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... morphology similar to LBBB ... weeks following an acute ... STElevation #ST #STEMI ... #ekg #electrocardiogram
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa Criteria ... for diagnosing STEMI ... presence of a LBBB ... Sgarbossa #Modified #Criteria ... #LBBB
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... V6 • Sgarbossa criterion ... • Sgarbossa criterion ... deviation) • Acute ... #EKG #diagnosis
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Acute Myocardial ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... STE in II, III, ... classic pattern of Acute ... Clinical #Cardiology #EKG ... #STEMI #InferoPosterior