11 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... Equivalents / Don't Miss Signs ... in V1, unless LBBB ... #EKG #diagnosis ... #electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Suspect STEMI ... V1-V3 c) STE ... Diagnosis #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Elevations - ACUTE STEMI ... EMBOLISM - LBBB ... ) - BRUGADA SIGN ... MYOCARDITIS - BENIGN ... SPIKED HELMET SIGN
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... Remember that RBBB ... STEMI Criteria misses ... Occlusion #Total #ECG ... #EKG #Electrocardiogram
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
or LBBB morphology ... - Brugada's sign ... - Josephson's sign ... #ekg #cardiology ... #diagnosis #electrocardiogram
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... specificity for EKG ... Incomplete or Complete RBBB ... ST-T Changes • STE ... diagnosis #cardiology #electrocardiogram
Benign Early Repolarization (BER) on EKG
 • Widespread concave STE most prominent in mid-to-left precordium (V2-V5)
Benign Early Repolarization ... (BER) on EKG ... Widespread concave STE ... ASanchez_PS #Benign ... #cardiology #electrocardiogram
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Brugada 1 - Coved STE ... (<360ms) PE: RBBB ... Syncope #Syndromes #ECG ... #EKG #Checklist ... diagnosis #cardiology #electrocardiogram
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 #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... : "Pardee's sign ... morphology similar to LBBB ... (Eiffel Tower sign ... #ekg #electrocardiogram