11 results
Posterior ECG Lead Placement #Diagnosis #Cardiology #MedStudent #EKG #Posterior #Lead #Placement #PosteriorMI #Instructions #ECGEducator
Posterior ECG Lead ... Placement #Diagnosis ... #Cardiology #MedStudent ... #EKG #Posterior ... #ECGEducator
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
meeting ST elevation criteria ... • Posterior MI ... STEMI #equivalent #diagnosis ... #cardiology #electrocardiogram ... #ecg #ekg
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
Lead aVR on EKG ... conditions: - Acute MI ... ) #Diagnosis # ... Cardiology #EKG ... #ECG #Lead #AVR
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
in precordial leads ... anterior wall MI ... with history of angina ... Serial EKGS in pts ... #Diagnosis #Cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
troponin elevation Diagnosis ... changes on tele/ECG ... perform provocative tests ... #cardiology #diagnosis ... #management
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
- Diagnostic Checklist ... for diagnosing ... MI in LBBB or Pacemaker ... #Checklist #EKG ... #cardiology #lbbb
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
ECGs - Ischemia MI ... early inferior MI ... depression in VI-V2 - posterior ... #EKG #diagnosis ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
elevation in aVR • Posterior ... V6 • Sgarbossa criterion ... • Sgarbossa criterion ... #EKG #diagnosis ... #differential #cardiology
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
EKG unremarkable ... management for ... previous hx of MI ... This was her EKG ... Echocardiogram #clinical #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
occlusion that may lead ... Infectious insult that leads ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #management #cardiology