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Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
Note there is ST ... authors state that ST ... is a good ECG sign ... #Clinical #EM #IM ... #STElevations #STE
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Diagnosis for ST ... Segment Elevations ... - ACUTE STEMI ... ) - BRUGADA SIGN ... - VENTRICULAR ANEURYSM
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- J point STE > ... 0.5mm downgoing ST ... Equivalents / Don't Miss Signs ... line; upsloping ST ... - R/S >1 or ST
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Upsloping convex STE ... Short QT LV Aneurysm ... : • ST elevation ... Other Causes - STE ... #ST #STEMI #Segment
The ECG shows ST elevation (STE) across the precordium, highest in V2 and V3. There are
The ECG shows ST ... elevation (STE) ... Persistent STE after ... #EM #Cardiology ... #EKG #Aneurysm
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
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 ... an isolectric ST ... STEMI Criteria misses ... #Clinical #Cardiology
Knuckle Sign on ECG - Acute Pericarditis

Electrocardiogram of a 68-year-old woman two days after coronary artery
Note the diffuse ST ... elevation, except ... for the ST depression ... #EKG #Electrocardiogram ... #Clinical #LeadAVR
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ST ... reciprocal ST depression ... wave in V1) with ST ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
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