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

Remember that RBBB normally has ST
patient with 100% Acute ... So ANY ST Elevation ... segment should ... STEMI Criteria misses ... #EKG #Electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STEMI: • Upsloping ... morphology similar to LBBB ... complex Pulmonary Embolism ... #ST #STEMI #Segment
ECG changes in Pulmonary Embolism
 - 
Sinus tachycardia 
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Complete or incomplete RBBB 
 -
segment and T wave ... elevation and depression ... #AcutePE #HighRisk ... #EKG #Findings ... #Diagnosis
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Sgarbossa Criteria - Diagnostic ... Checklist for diagnosing ... Discordance" = ST ... Criteria - Suspect STEMI ... #Checklist #EKG
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
women • DDx: Acute ... have no pain - LAD ... avR - proximal LAD ... in V1, unless LBBB ... #EKG #diagnosis
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 ... changes (ST segments ... elevation of greater ... ≥ 1mm (in any lead