12 results
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion
suggestive of coronary occlusion ... #Diagnosis #Cardiology ... #Coronary #Occlusion ... #Wellens #DeWinter ... #Sgarbossa #STEMI
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... descending (LAD) occlusion ... precordial leads #DeWinter ... Electrocardiogram #Diagnosis ... #Cardiology #Criteria
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... Discordance" = ST ... Criteria - Suspect STEMI ... #Checklist #EKG ... #cardiology #lbbb
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
bigger than QRS - deWinter ... in V1, unless LBBB ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
anterior descending occlusions ... before or after STEMI ... Team @FOAMfrat #DeWinter ... Electrocardiogram #diagnosis ... #cardiology
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 ... Algorithm #cardiology ... #infarction #diagnosis
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa ... Criteria for diagnosing ... STEMI in the presence ... of a LBBB If there ... #Cardiology #Sgarbossa
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
the most likely diagnosis ... combination of ST ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #DeWinters
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
depression • Sgarbossa ... • Sgarbossa criterion ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
for proximal LAD occlusion ... • Upsloping ST-Depression ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology