12 results
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... in V1 (deep S waves ... Criteria - Suspect STEMI ... V1-V3 c) STE ... Diagnosis #Checklist #EKG
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... big R or R/S>I STEMI ... - hyperacute T waves ... - deWinter T waves ... #EKG #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Upsloping convex STE ... STElevation #ST #STEMI ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
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
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
Hyperkalemia on EKG ... narrow-based T Waves ... Loss of visible P waves ... • Pseudo-STEMI ... cardiology #diagnosis #clinical
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
rocket-shaped T waves ... occur with subtle STE ... be considered a STEMI ... MusaSharkawi #Clinical ... #STWaves #Occlusion
A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
S5 lead) is a modified ... atrial flutter waves ... flutter is suspected clinically ... atrial flutter waves ... #Cardiology #EKG
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
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... positive based on the modified ... #Modified #EKG ... Electrocardiogram #Clinical
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Winter T Wave on ECG ... prominent, symmetric T waves ... aVR - “Normal” STEMI ... #DeWinter #TWaves ... #ECG #EKG #Clinical