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

1) Upsloping
Pattern STEMI ... Equivalent - Left anterior ... ST elevation in aVR ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
- Anterior OMI ... - 2% of left anterior ... STEMI - look for ... ST elevation in aVR ... #diagnosis #cardiology
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 ... #EKG #diagnosis
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 ... Changes • STE in aVR ... #Embolism #AcutePE ... #diagnosis #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... main coronary artery ... (LMCA). left anterior ... • Classic EKG ... #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
leads with STE in avR ... inversion - STE avR ... - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology
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 ... leads (II, III, AVF ... #clinical #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
complex Pulmonary Embolism ... anteroseptal and inferior ... • Epicardial artery ... #cardiology #ecg ... #ekg #electrocardiogram
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Catheterization - Pulmonary Artery ... PCWP PULMONARY ARTERY ... in-hospital mortality in inferior ... #catheter #diagnosis ... #cardiology #swanganz