12 results
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
The electrocardiogram ... ST-segment elevation #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #Equivalents ... #HighRisk
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... precordial leads #DeWinter ... #Electrocardiogram ... #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... before or after STEMI ... #TWaves #EKG #ECG ... #Electrocardiogram ... #diagnosis #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
bigger than QRS - deWinter ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
OMI vs STEMI - Differential ... segment is the only ECG ... #OMI #STEMI #Differential ... #Algorithm #cardiology ... myocardial #infarction #diagnosis
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... on EKG 47 year ... The mother of all ... a PFO during a bowel ... #cardiology #electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... of the leads l, aVL ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
in lead aVR ± aVL ... #DeWinters # ... TWaves #EKG #ECG ... #diagnosis #cardiology ... #electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
diagnosis includes ... #electrocardiogram ... #diagnosis #ekg ... #differential # ... cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework ... STEMI: • Upsloping ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram