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

Remember that RBBB normally has ST
Here’s an ECG of ... segment should ... STEMI Criteria misses ... #Total #ECG #EKG ... Electrocardiogram #Clinical #Cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... descending (LAD) occlusion ... precordial leads #DeWinter ... #TWaves #ECG #EKG
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
Winter T-Waves on EKG ... anterior descending occlusions ... before or after STEMI ... segment - ST depression ... #TWaves #EKG #ECG
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... in V1, unless LBBB ... #Ischemia #ECG ... #EKG #diagnosis ... #Interpretation
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
believe that the ST ... segment is the ... only ECG finding ... predictive of occlusion ... Differential #Algorithm #cardiology
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
combination of ST ... the De Winter ECG ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #DeWinters
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... morphology similar to LBBB ... #STEMI #Segment ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
for proximal LAD occlusion ... • Upsloping ST-Depression ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... : “Nonspecific ST ... Recognize this #ECG ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Discordance" = ST ... Criteria - Suspect STEMI ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg ... #cardiology #lbbb