12 results
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis
 • Lead V1 - LBBB Criteria
 •
Lead V1 - LBBB ... CriteriaLead ... V1 - RBBB Criteria ... VTach #diagnosis #cardiology ... #ekg #ecg #telemetry
RBBB Ventricular Tachycardia Criteria - Lead V1 - Telemetry Diagnosis
WCT is VT IF:
 • R >
RBBB Ventricular ... Tachycardia Criteria ... - Lead V1 - Telemetry ... #cardiology #ekg ... #ecg #telemetry
LBBB Ventricular Tachycardia Criteria - Lead V1 - Telemetry Diagnosis
WCT is VT IF:
 • Initial r
LBBB Ventricular ... Tachycardia Criteria ... - Lead V1 - Telemetry ... #cardiology #ekg ... #ecg #telemetry
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
diagnosing MI in LBBB ... or Pacemaker LBBB ... Discordance" = ST ... #ecg #cardiology ... #lbbb
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Remember that RBBB ... Depression in V1 ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
What are the original Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead =
original Sgarbossa Criteria ... V1 – V3 = 3 points ... #Diagnosis #Cardiology ... Original #Sgarbossa #Criteria ... #LBBB #RebelEM
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
imitator" • ↓ K - ST ... long QT via long ST ... Trifascicular block - RBBB ... (<360ms) PE: RBBB ... #EKG #Checklist
What is the new modified Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead
-
modified Sgarbossa Criteria ... V1 – V3 - Discordant ... #Diagnosis #Cardiology ... ModifiedSgarbossa #Criteria ... #STSRatio #LBBB
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
Drive: • Sinus Tachycardia ... Incomplete or Complete RBBB ... (RBB prone to stretch ... Dominant R Wave in V1 ... • Non-specific ST-T
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... - STE V1 >V2 ... , unless LBBB/LVH ... electrocardiogram #cardiology