7 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... , Aortic dissection ... Equivalents / Don't Miss Signs ... #EKG #diagnosis
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... waves in opposite direction ... Criteria - Suspect STEMI ... V1-V3 c) STE ... Diagnosis #Checklist #EKG
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
TypeA Aortic Dissection ... EKG: afib, twi I ... rwp with 1-2mm ste ... for this Type A Dissection ... #Dissection #Aorta
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... - Type A Aortic ... Dissection on POCUS ... Echocardiogram STEMI ... on EKG: check the
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... V2 • Wellens sign ... pain • Wellens sign ... Sgarbossa criterion 3 (modified ... #EKG #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... : "Pardee's sign ... (Eiffel Tower sign ... Post-cardioversion • Acute aortic ... dissection
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa ... for diagnosing STEMI ... segments in the same direction ... A: Concordant STE ... Cardiology #Sgarbossa #Modified