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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 ... #Clinical #EM #IM ... #Cardiology #EKG ... #STElevations #STE
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
0.5mm downgoing ST ... Equivalents / Don't Miss Signs ... line; upsloping ST ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Discordance" = ST ... - Suspect STEMI ... a) Concordant STE ... V1-V3 c) STE ... #Checklist #EKG
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
V2 • Wellens sign ... pain • Wellens sign ... deviation) • Acute ischemia ... #EKG #diagnosis ... #differential #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Upsloping convex STE ... : "Pardee's sign ... Cardiomyopathy: • STE ... Other Causes - STE ... #cardiology #ecg