11 results
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Equivalent - Left anterior ... depressions and tall ... DeWinter #TWaves #ECG ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Left Anterior Fascicular ... Small Q waves with tall ... Fascicular #Block #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
becoming acute anterior ... wall MI — 'widow ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Embolism The sensitivity ... Leads (VI-V3) +/- Inferior ... #Embolism #AcutePE ... #diagnosis #cardiology ... #electrocardiogram
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... inversions V1-V4 plus inferior ... #ECG #EKG #Electrocardiogram ... #clinical #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
in avL - early inferior ... infarct - New tall ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
Septal (V1-2) • Anterior ... Normal: Upright in all ... Interpretation #ECG ... #Electrocardiogram ... #cardiology #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... complex Pulmonary Embolism ... #differential #diagnosis ... #cardiology #ecg ... #ekg #electrocardiogram
Ectopic atrial rhythm
 • The atrial rate is less than 100 bpm.
 • PR interval within
Inverted P waves in inferior ... • Customary to call ... atrial #rhythm #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram