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ST segment elevation in acute myocardial ischemia

ST segment elevations with straight (horizontal, upsloping or downsloping) or
ST segment elevation ... Concave ST segment ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI ... #STElevation #Ischemic
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Differential Diagnosis ... for ST Segment ... EMBOLISM - LBBB ... #STElevation #STEMI ... #Differential #
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Elevation - Differential ... morphology similar to LBBB ... blocking drugs #STElevation ... #ST #STEMI #Segment ... #Elevation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... of ST segment at ... indistinguishable from ST-segment ... #EKG #diagnosis ... #differential #
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... Criteria - Diagnostic ... Discordance" = ST ... Criteria - Suspect STEMI ... #Checklist #EKG
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa ... STEMI in the presence ... of a LBBB If there ... changes (ST segments ... elevation of greater
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Miss Signs of Ischemia ... in V1, unless LBBB ... #ECG #EKG #diagnosis ... Interpretation #differential
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
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
Section: ST segment ... characterized by a coved ST-segment ... Section: ST segment ... not have obvious ischemia ... #cardiology #differential