10 results
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
for ST Segment Elevations ... - ACUTE STEMI ... - PULMONARY EMBOLISM ... - LBBB (PACEMAKER ... #Diagnosis #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Remember that RBBB ... So ANY ST Elevation ... have ’relative elevation ... STEMI Criteria misses ... #Clinical #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... morphology similar to LBBB ... complex Pulmonary Embolism ... #diagnosis #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Sgarbossa Criteria - Diagnostic ... Checklist for diagnosing ... Criteria - Suspect STEMI ... #Checklist #EKG ... #cardiology #lbbb
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... in V1, unless LBBB ... #EKG #diagnosis ... electrocardiogram #cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Embolism The sensitivity ... Incomplete or Complete RBBB ... ST-T Changes • STE ... #Embolism #AcutePE ... #diagnosis #cardiology
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
STEMI in the presence ... of a LBBB If there ... discordant ST elevation ... > 0.25 S #Diagnosis ... #Cardiology #Sgarbossa
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... rhythm with ST elevations ... Embolus through ... #EKG #clinical ... #cardiology #electrocardiogram
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
additional ST elevation ... lateral leads, also diagnostic ... of STEMI. ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

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The combination of
the most likely diagnosis ... occur with subtle STE ... be considered a STEMI ... MusaSharkawi #Clinical ... #Cardiology #EKG