10 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 ... elevation #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #Equivalents
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
on ECG - aVR ... ST segment elevation ... segment elevation ... > ST segment elevation ... #Diagnosis #Electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... So ANY ST Elevation ... segment should ... have ’relative elevation ... #Total #ECG #EKG
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
3 ECG patterns for ... without meeting ST ... elevation criteria ... #cardiology #electrocardiogram ... #ecg #ekg
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
believe that the ST ... segment is the ... only ECG finding ... #Algorithm #cardiology ... #infarction #diagnosis
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... elevation in aVR ... DeWinter #TWaves #ECG ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
Winter T-Waves on EKG ... elevation in aVR ... segment - ST depression ... #ECG #Electrocardiogram ... #diagnosis #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... Prinzmetal's Angina ... #ST #STEMI #Segment ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... STEMI - Elevation ... of ST segment at ... #Equivalents #ECG ... #EKG #diagnosis
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... Variable troponin elevation ... • Transient ST segment ... changes on tele/ECG ... #cardiology #diagnosis