9 results
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Differential Diagnosis ... for ST Segment Elevations ... EMBOLISM - LBBB ... #STSegment #STElevation ... #STEMI #Differential
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... ) Upsloping ST elevation ... precordial leads #DeWinter ... #TWaves #ECG #EKG ... Electrocardiogram #Diagnosis
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
urgent treatment, STEMI ... patients with ST elevations ... features of the EKG ... #EKG #ECG #STElevation ... #STSegment #Differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
of ST Segment Elevation ... - Differential ... Diagnosis Framework ... morphology similar to LBBB ... #Elevation #differential
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
Winter T-Waves on EKG ... before or after STEMI ... - look for ST elevation ... Team @FOAMfrat #DeWinter ... Electrocardiogram #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... bigger than QRS - deWinter ... in V1, unless LBBB ... #EKG #diagnosis ... Interpretation #differential
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Diagnostic Criteria ... Absence of ST elevation ... - ST segment elevation ... aVR - “Normal” STEMI ... pattern #DeWinter
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... with 1-2 mm ST elevation ... modified) - ST elevation ... #EKG #diagnosis ... #differential #
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Sgarbossa Criteria for diagnosing ... STEMI in the presence ... of a LBBB If there ... discordant ST elevation ... > 0.25 S #Diagnosis