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

1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... precordial leads #DeWinter ... #Electrocardiogram ... #Criteria
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
ECG of a 32-year-old ... lady with chest ... #EKG #STEMI #Clinical ... #ECG #EKG #Electrocardiogram ... #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
wide, can be new/old ... bigger than QRS - deWinter ... have no pain - LAD ... #electrocardiogram ... #cardiology #STEMI
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Anterior Fascicular Block ... axis deviation (LAD ... waves in leads II, Ill ... #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram
66 yo with syncope - Ventricular Tachycardia

This ECG shows a wide-complex tachycardia in a right bundle
bundle branch block ... the morphology criteria ... to the Brugada criteria ... VentricularTachycardia #Clinical #Cardiology ... #ECG #EKG #Electrocardiogram
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... old with chest ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram ... #ecg
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
"Mild" Hyperkalemia ... of conduction block ... waves • Pseudo-STEMI ... #ECG #electrocardiogram ... #cardiology #diagnosis
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
) - HiPR: AV block ... V-pacemaker, ↑K, ICD ... #Approach #ECG ... #electrocardiogram ... #cardiology #interpretation
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... - Suspect STEMI ... > 1 mm in any lead ... #electrocardiogram ... #ecg #cardiology