9 results
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
ST elevation in ACS ... predictor of recurrent ischemic ... diagnosis includes ACS ... instead of ACS. ... cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... OMI vs STEMI - Differential ... EMN @EMNews #ACS ... #OMI #STEMI #Differential ... #Algorithm #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... wave inversion in avL ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
Reciprocal STD in I & aVL ... Biphasic T-wave in aVL ... InferoPosterior transmural ischemia ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
Bradycardia - Differential Diagnosis Framework

BRADI Mnemonic
 • BRASH/Hyperkalemia
 • Reduced oxygen/Glucose/Temp
 • ACS
 • Drugs
 •
Bradycardia - Differential ... Glucose/Temp • ACS ... • Myocardial ischemia ... #differential # ... diagnosis #causes #cardiology
Bradycardia
1) First Steps: IV, O2, Monitors, ECG, Pads on patient, Crash Cart in room. Is patient
Bradycardia 1) ... Shock, SBP <90, AMS ... Ischemia? ... #diagnosis #differential ... #management #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
ST elevation in aVR ... of the leads l, aVL ... deviation) • Acute ischemia ... #differential # ... cardiology #electrocardiogram
Anatomical Differential Diagnosis for Arrhythmias
 • SA node: Sinus bradycardia, Sick Sinus Syndrome (SSS)
 • AV
Anatomical Differential ... SA node: Sinus bradycardia ... Contractions (PACs ... Atrial Flutter (AFL ... Diagnosis #Causes #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
, not in aVL • ... , not in aVL, when ... lateral leads (I, aVL ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram