11 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
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
Hyperkalemia on ... EKG "Mild" Hyperkalemia ... waves • Pseudo-STEMI ... #EKG #ECG #electrocardiogram ... #cardiology #diagnosis
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
Hyperkalemia EKG ... Computer is calling STEMI ... classic “Pseudo-STEMI ... #EKG #ECG #Electrocardiogram ... #Cardiology #Clinical
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
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
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... #Equivalents #ECG ... #differential #cardiology ... #electrocardiogram
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... criteria in the ... complex 10 in lead ... #Electrocardiogram ... #Clinical #Cardiology