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ST segment elevation in acute myocardial ischemia

ST segment elevations with straight (horizontal, upsloping or downsloping) or
ST segment elevation ... Concave ST segment ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI ... #STElevation #Ischemic
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Post-cardioversion • Acute aortic ... dissection • ... blocking drugs #STElevation ... #ST #STEMI #Segment ... #diagnosis #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... of ST segment at ... transitioning in a convex ST-segment ... indistinguishable from ST-segment ... #differential #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
So ANY ST Elevation ... segment should ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... , Aortic dissection ... Equivalents / Don't Miss Signs ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
for diagnosing STEMI ... changes (ST segments ... in the same direction ... elevation of greater ... S #Diagnosis #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Discordance" = ST ... waves in opposite direction ... - Suspect STEMI ... Diagnosis #Checklist #EKG ... #cardiology #lbbb
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
dysrhythmia or ischaemia ... segment, so called ... coved ST elevation ... cardiomyopathy and aortic ... #Cardiology
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
Section: ST segment ... characterized by a coved ST-segment ... heart disease like aortic ... Section: ST segment ... not have obvious ischemia