14 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... , Aortic dissection ... Equivalents / Don't Miss Signs ... #EKG #diagnosis ... electrocardiogram #cardiology
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
Coronary Artery Dissection ... hour, Ant/Sept STEMI ... on EKG. ... Cath LAD dissection ... PSAX #Clinical #Cardiology
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
in aVR, a true sign ... sign of left main ... Clinical #EM #IM #Cardiology ... #EKG #STElevations ... #STE #SharkFin
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... The name STEMI ... segment is the only ECG ... #Differential #Algorithm ... #cardiology #occlusionMI
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
waves in opposite direction ... Criteria - Suspect STEMI ... V1-V3 c) STE ... Diagnosis #Checklist #EKG ... #cardiology #lbbb
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... Type A Aortic Dissection ... Echocardiogram STEMI ... on EKG: check the ... Echocardiogram #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential #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 ... Recognize this #ECG ... STE in II, III, ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Cardiogenic #Shock #Algorithm ... Initiative #Management #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... : "Pardee's sign ... • Acute aortic dissection ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram