11 results
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
Note there is ST ... in aVR, a true sign ... #Clinical #EM #IM ... #Cardiology #EKG ... #STElevations #STE
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... 0.5mm downgoing ST ... Equivalents / Don't Miss Signs ... #EKG #diagnosis
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Diagnosis for ST ... Elevations - ACUTE STEMI ... ) - BRUGADA SIGN ... - VENTRICULAR ANEURYSM ... SPIKED HELMET SIGN
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis
The ECG shows ST elevation (STE) across the precordium, highest in V2 and V3. There are
The ECG shows ST ... left ventricular aneurysm ... morphology") #Clinical #EM ... #Cardiology #EKG ... #Aneurysm #LVAneurysm
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... : "Pardee's sign ... Short QT LV Aneurysm ... #STEMI #Segment ... #ekg #electrocardiogram
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
is additional ST ... diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Discordance" = ST ... Criteria - Suspect STEMI ... a) Concordant STE ... V1-V3 c) STE ... Diagnosis #Checklist #EKG
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ST ... with reciprocal ST ... suggestive of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... : “Nonspecific ST ... STE in II, III, ... Clinical #Cardiology #EKG ... #STEMI #InferoPosterior