9 results
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
for ST Segment ... Elevations - ACUTE ... STEMI - PULMONARY ... EMBOLISM - LBBB ... #Diagnosis #Cardiology
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 ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
ECG changes in Pulmonary Embolism
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Sinus tachycardia 
 - 
Complete or incomplete RBBB 
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ECG changes in Pulmonary ... or incomplete RBBB ... elevation and depression ... #Embolism #AcutePE ... #Diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
morphology similar to LBBB ... QRS complex Pulmonary ... Embolism: • T-wave ... #ST #STEMI #Segment ... #diagnosis #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
women • DDx: Acute ... have no pain - LAD ... 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
EKG in Acute Pulmonary ... • Non-specific ST-T ... #EKG #Pulmonary ... #Embolism #AcutePE ... #diagnosis #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Checklist for diagnosing ... Discordance" = ST ... Criteria - Suspect STEMI ... #Checklist #EKG ... #cardiology #lbbb
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 ... elevation of greater ... ≥ 1mm (in any lead ... #Cardiology #Sgarbossa
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
the most likely diagnosis ... combination of ST ... Seen in 2% of acute ... LAD occlusion. ... be considered a STEMI