14 results
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
for ST Segment Elevations ... - ACUTE STEMI ... EMBOLISM - LBBB ... #STSegment #STElevation ... #STEMI #Differential
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
patient with 100% Acute ... Remember that RBBB ... So ANY ST Elevation ... STEMI Criteria misses ... #EKG #Electrocardiogram
ST segment elevation in acute myocardial ischemia

ST segment elevations with straight (horizontal, upsloping or downsloping) or
ST segment elevation ... in acute myocardial ... strongly suggest acute ... Diagnosis #Cardiology #ECG ... #EKG #STEMI #STElevation
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 ... #ST #STEMI #Segment ... #ekg #electrocardiogram
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
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
3 ECG patterns for ... Acute Occlusion ... without meeting ST elevation ... MyocardialInfarction #OMI #STEMI ... #ekg
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Suspect STEMI ... a) Concordant STE ... V1-V3 c) STE ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg
LAD
IWMI
LAHB
RAD
[PHB
RVH
Lateral wall infarct
Lead reversal
Dextrocardia
Wide ORS
RBBB - terminal delay
[BBB
IVED
WPW = delta wave
Hyperkalemia
Type l antiarrhythmic drugs
Pacemaker
ST elevation
Early repolarization
Pacemaker ST elevation ... repolarization Diffuse ST Acute ... pericarditis Elevation ... AcutE STEMI Variant ... #LBBB #IVED #WPW
ECG changes in Pulmonary Embolism
 - 
Sinus tachycardia 
 - 
Complete or incomplete RBBB 
 -
ECG changes in Pulmonary ... or incomplete RBBB ... , including ST elevation ... Pulmonary #Embolism #AcutePE ... #EKG #Findings
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