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Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
for ST Segment Elevations ... EMBOLISM - LBBB ... BRUGADA SIGN (SYNDROME ... INJURY/ICH - VENTRICULAR ... #STSegment #STElevation
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Remember that RBBB ... So ANY ST Elevation ... have ’relative elevation ... STEMI Criteria misses ... #EKG #Electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... point • De Winter syndrome ... with 1-2 mm ST elevation ... 1 - ST elevation ... #EKG #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
of ST Segment Elevation ... Diagnosis Framework STEMI ... Diffuse ST-segment elevation ... morphology similar to LBBB ... #ecg #ekg #electrocardiogram
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
for diagnosing STEMI ... If there is concordant ... discordant ST elevation ... S #Diagnosis #Cardiology ... #LBBB
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... This ECG is unique ... lead V6 has ST elevation ... #Modified #EKG ... Electrocardiogram #Clinical #Cardiology
WOBBLER  for ECG assessment in Syncope 
W - Wolff Parkinson White 
O - Obstructed AV
syndrome – look ... called coved ST elevation ... also a short QT syndrome ... Mnemonic #Syncope #EKG ... #Cardiology
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
coved ST-segment elevation ... • L: Left Ventricular ... arrhythmogenic right ventricular ... or short QT syndrome ... #cardiology #differential