15 results
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
elevation in aVR ... is a good ECG sign ... #Clinical #EM #IM ... #Cardiology #EKG ... #STElevations #STE
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Diagnosis for ST ... Segment Elevations ... - ACUTE STEMI ... - VENTRICULAR ANEURYSM ... #Diagnosis #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
RBBB normally has ST ... So ANY ST Elevation ... have ’relative elevation ... STEMI Criteria misses ... #Clinical #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... #differential #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
: "Pardee's sign ... Short QT LV Aneurysm ... #ST #STEMI #Segment ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
is additional ST ... elevation in lateral ... diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
The ECG shows ST elevation (STE) across the precordium, highest in V2 and V3. There are
The ECG shows ST ... elevation (STE) ... morphology") #Clinical ... #EM #Cardiology ... #EKG #Aneurysm
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... 0.5mm downgoing ST ... Equivalents / Don't Miss Signs ... #EKG #diagnosis ... electrocardiogram #cardiology
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ST ... elevation with ... elevation in V1 ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... 1 - Widespread ST ... Normalization Spodick's sign ... #cardiology #diagnosis ... #clinical