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

1) Upsloping
Winter T Wave ECG ... anterior descending (LAD ... DeWinter #TWaves #ECG ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... on EKG 47 year ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram ... #ecg
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... #Clinical #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
- Suspect STEMI ... > 1 mm in any lead ... wave > 25% in any lead ... #EKG #electrocardiogram ... #ecg #cardiology
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
Hyperkalemia EKG ... 8.5 Here’s an #ECG ... Burn this ECG ... is a contrast load ... #Cardiology #Clinical
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... anterior descending (LAD ... aVR • Classic EKG ... only looks at aVR lead ... #differential #cardiology
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Sgarbossa Positive ECG ... of conventional STEMI ... complex 10 in lead ... #Modified #EKG ... Electrocardiogram #Clinical #Cardiology
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
in aVL and in lead ... suggestive of STEMI ... suggestive of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
different P waves in lead ... (4) SA node arrest ... bradyarrhythmia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... Initiative #Management #Cardiology