10 results
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... - Suspect STEMI ... #Sgarbossa #Criteria ... Checklist #EKG #electrocardiogram ... #ecg #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Remember that RBBB ... STEMI Criteria misses ... Total #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
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 ... Occlusion #ECG #EKG #STEMI ... Clinical #ECG #EKG #Electrocardiogram ... #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
wide, can be new/old ... in V1, unless LBBB ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential
On the left some diseases with a nodular pattern.
1. Hypersensitivity pneumonitis: ill defined centrilobular nodules.
2. Miliary
Hypersensitivity pneumonitis ... Hypersensitivity pneumonitis ... Clinical #Diagnosis #Radiology ... #Pulmonary #CTChest ... NodularPattern #Differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
accompanied by chest ... V6 • Sgarbossa criterion ... • Sgarbossa criterion ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... on EKG 47 year old ... with chest pain ... EKG #clinical #cardiology ... #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework STEMI ... morphology similar to LBBB ... STElevation #ST #STEMI ... #ecg #ekg #electrocardiogram
UIP with honeycombing (left) and chronic HP (right)
Differential diagnosis of Hypersensitivity Pneumonitis.
Subacute stage:
- RB-ILD: seen in
chronic HP (right) Differential ... Hypersensitivity Pneumonitis ... Subacute stage: - RB-ILD ... Clinical #Diagnosis #Radiology ... #CTChest #UIP #
On the left a smoker with RB-ILD with subtle HRCT-findings.
The dominant pattern is ground glass opacification.
Additional
smoker with RB-ILD ... there is a broad differential ... hypersensitivity pneumonitis ... #Clinical #Radiology ... #CTChest #RBILD