20 results
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
in aVR, a true sign ... state that ST elevation ... #Clinical #EM #IM ... #Cardiology #EKG ... #STElevations #STE
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... big R or R/S>I STEMI ... Equivalents / Don't Miss Signs ... #Ischemia #ECG ... #EKG #diagnosis
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
So ANY ST Elevation ... have ’relative elevation ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
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
Knuckle Sign on ECG - Acute Pericarditis

Electrocardiogram of a 68-year-old woman two days after coronary artery
Knuckle Sign on ... the diffuse ST elevation ... and aVL, and PR elevation ... (‘knuckle’ sign ... #Clinical #LeadAVR
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... : "Pardee's sign ... (Eiffel Tower sign ... #ST #STEMI #Segment ... #ekg #electrocardiogram
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
additional ST elevation ... diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
probable inferior STEMI ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... Widespread ST elevation ... depression and PR elevation ... Normalization Spodick's sign ... cardiology #diagnosis #clinical
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
is inferior ST elevation ... suggestive of STEMI ... in V1) with ST elevation ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior