9 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
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 ... #POCUS #Echocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... waves in opposite direction ... - Suspect STEMI ... V1-V3 c) STE ... Diagnosis #Checklist #EKG
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 ... #DoubleValve #Sign
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
TypeA Aortic Dissection ... on POCUS Echocardiogram ... EKG: afib, twi I ... rwp with 1-2mm ste ... #Aorta #POCUS #Echocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... V6 • Sgarbossa criterion ... • Sgarbossa criterion ... #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 ... • Acute aortic dissection ... #ekg #electrocardiogram
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa Criteria ... for diagnosing STEMI ... segments in the same direction ... A: Concordant STE ... Sgarbossa #Modified #Criteria
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
Pericarditis on Echocardiogram ... had gained 15 kg ... ASA, Kussmaul's sign ... transthoracic echocardiogram ... meeting diagnostic criteria