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

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

1) Upsloping
Pattern STEMI ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
without meeting ST ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology ... #electrocardiogram ... #ecg #ekg
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
Winter T-Waves on EKG ... before or after STEMI ... DeWinter #TWaves #EKG ... #ECG #Electrocardiogram ... #diagnosis #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
RBBB normally has ST ... an isolectric ST ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
urgent treatment, STEMI ... patients with ST ... : #Diagnosis #Cardiology ... #EKG #ECG #STElevation ... #STSegment #Differential
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... on EKG 47 year ... atrial rhythm with ST ... a PFO during a bowel ... #cardiology #electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... (or 40-60 ms after ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential ... believe that the ST ... segment is the only ECG ... #Differential # ... Algorithm #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
0.5mm downgoing ST ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential