14 results
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis
 • Lead V1 - LBBB Criteria
 •
Lead V1 - LBBB ... CriteriaLead ... V1 - RBBB Criteria ... #Algorithm # ... #cardiology #ekg
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Diagnostic ... - Suspect STEMI ... #Modified #Diagnosis ... #Checklist #EKG ... #cardiology #lbbb
Modified Sgarbossa Criteria - Suspected AMI with LBBB on ECG #Diagnosis #Cardiology #Sgarbossa #Modified #LBBB #Algorithm
Criteria - Suspected ... ECG #Diagnosis ... #Cardiology #Sgarbossa ... #Modified #LBBB ... #Algorithm #AMI
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... Remember that RBBB ... STEMI Criteria misses ... @EM_RESUS #LAD ... #Clinical #Cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... The mother of all ... a PFO during a bowel ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... complex 10 in lead ... #Modified #EKG ... Electrocardiogram #Clinical ... #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... wave inversion in avL ... in V1, unless LBBB ... #EKG #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... of the leads l, aVL ... 3 (modified) - ... #EKG #diagnosis ... #differential #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... TIMI III flow in all
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... morphology similar to LBBB ... #cardiology #ecg ... #ekg #electrocardiogram