10 results
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... segment should ... STEMI Criteria misses ... Occlusion #Total #ECG ... #EKG #Electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
for diagnosing ... Discordance" = ST ... - Suspect STEMI ... #Checklist #EKG ... electrocardiogram #ecg
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Elevation - Differential ... Diagnosis Framework ... morphology similar to LBBB ... #STEMI #Segment ... #ecg #ekg #electrocardiogram
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
urgent treatment, STEMI ... patients with ST ... features of the EKG ... #EKG #ECG #STElevation ... #STSegment #Differential
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... in V1, unless LBBB ... #Ischemia #ECG ... #EKG #diagnosis ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... of ST segment at ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Winter T Wave on ECG ... Diagnostic Criteria ... aVR - “Normal” STEMI ... DeWinter #TWaves #ECG ... #EKG #Clinical
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential ... believe that the ST ... segment is the ... only ECG finding ... myocardial #infarction #diagnosis
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
for diagnosing ... STEMI in the presence ... of a LBBB If there ... changes (ST segments ... #LBBB
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology ... electrocardiogram #differential