7 results
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STEMI: • Upsloping ... morphology similar to LBBB ... #ST #STEMI #Segment ... #ecg #ekg #electrocardiogram
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
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before or after STEMI ... - look for ST elevation ... - Upsloping ST segment ... Team @FOAMfrat #DeWinter ... Electrocardiogram #diagnosis
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Remember that RBBB ... So ANY ST Elevation ... isolectric ST segment ... STEMI Criteria misses ... #Clinical #Cardiology
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Diagnostic Criteria ... - Upsloping ST segment ... elevation (0.5mm ... aVR - “Normal” STEMI ... #Clinical #Electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... bigger than QRS - deWinter ... in V1, unless LBBB ... #Ischemia #ECG ... #EKG #diagnosis
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
STEMI in the presence ... of a LBBB If there ... ST changes (ST segments ... discordant ST elevation ... > 0.25 S #Diagnosis
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
the most likely diagnosis ... be considered a STEMI ... MusaSharkawi #Clinical ... #Cardiology #EKG ... #ECG #DeWinters