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

Remember that RBBB normally has ST
with 100% Acute LAD ... Remember that RBBB ... So ANY ST Elevation ... STEMI Criteria misses ... #Clinical #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
- Diagnostic Checklist ... for diagnosing ... Discordance" = ST ... - Suspect STEMI ... #Checklist #EKG
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Elevation - Differential ... morphology similar to LBBB ... complex Pulmonary Embolism ... #ST #STEMI #Segment ... #Elevation #differential
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... in V1, unless LBBB ... #EKG #diagnosis ... Interpretation #differential
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
for diagnosing ... STEMI in the presence ... elevation of greater ... ≥ 1mm (in any lead ... #LBBB