22 results
Pulmonary Embolism on EKG

- Dr. Josh Farkas  @PulmCrit

Note Right Axis Deviation, T-Wave Inversion on Inferior
Pulmonary Embolism ... on EKG - Dr. ... T-Wave Inversion on Inferior ... and Anterior Leads ... electrocardiogram #cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Equivalent - Left anterior ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
with probable inferior ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... causes of cardio-pulmonary ... Leads (VI-V3) +/- Inferior ... #EKG #Pulmonary ... AcutePE #diagnosis #cardiology
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
ST elevation in inferior ... supplying the inferior ... addition to the anterior ... #Clinical #EM #Cardiology ... #EKG #DeWinter
Mediastinal Widening - Differential Diagnosis

 • Vascular: Aortic dissection, Aortic anourysm, Enlarged pulmonary arteries, Venous or
anourysm, Enlarged pulmonary ... duplicated SVC) • Pulmonary ... mass • Masses: Anterior ... Pericardial effusion • CXR ... #radiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
sign A - Biphasic anterior ... Deeply inverted anterior ... asymmetrical, broad-based anterior ... inversions in the anterior ... #differential #cardiology
Hilum Overlay Sign on Chest X-Ray
If a mass is in contact with the pulmonary vessels then,
contact with the pulmonary ... is thus either anterior ... proven to be an anterior ... XRay #clinical #radiology ... #CXR
Posterior ECG leads (V7-V9) are applied by moving V4-V6 to under the left scapula.Purpose: To detect
Posterior ECG leads ... associated with inferior ... lateral wall AMI #EM ... #Cardiology #Posterior ... #EKG #Lead #Placement
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
#Clinical #EM #Cardiology ... #EKG #STEMI #Inferior