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Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
Note there is ST ... #Clinical #EM #IM ... #Cardiology #EKG ... #STElevations # ... STE #SharkFin #LeftMainOcclusion
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
for ST Segment ... - VENTRICULAR ANEURYSM ... #STSegment #STElevation ... #STEMI #Differential ... #Diagnosis #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Equivalents / Don't Miss Signs ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ischemia ... #differential # ... cardiology #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
: "Pardee's sign ... Short QT LV Aneurysm ... blocking drugs #STElevation ... #ST #STEMI #Segment ... #diagnosis #cardiology