13 results
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
aVR is a good ECG ... #Clinical #EM #IM ... #Cardiology #EKG ... #STElevations # ... STE #SharkFin #LeftMainOcclusion
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... 3) Implement Modified ... Criteria - Suspect STEMI ... V1-V3 c) STE ... Diagnosis #Checklist #EKG
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Upsloping convex STE ... #ST #STEMI #Segment ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
So ANY ST Elevation ... have ’relative elevation ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... aVR • Posterior STEMI ... Sgarbossa criterion 3 (modified ... #EKG #diagnosis
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... lead V6 has ST elevation ... #Modified #EKG ... Electrocardiogram #Clinical
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa ... for diagnosing STEMI ... discordant ST elevation ... A: Concordant STE ... Cardiology #Sgarbossa #Modified
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Recognize this #ECG ... STE in II, III, ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
additional ST elevation ... diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
is inferior ST elevation ... suggestive of STEMI ... in V1) with ST elevation ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior