5 results
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... Remember that RBBB ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Ml, WPW, LVH, LBBB ... MI, WPW, RVH, RBBB ... ) - WideQRS: RBBB ... leads slurred S), LBBB ... #electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
or Pacemaker LBBB ... - Suspect STEMI ... #electrocardiogram ... #ecg #cardiology ... #lbbb
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
wide, can be new/old ... have no pain - LAD ... in V1, unless LBBB ... #electrocardiogram ... #cardiology #STEMI
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... ventricle pacing lead ... morphology similar to LBBB ... STElevation #ST #STEMI ... #ecg #ekg #electrocardiogram