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

1) Upsloping
Pattern STEMI ... anterior descending (LAD ... ) occlusion ... #Diagnosis #Cardiology ... #Criteria
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... with 100% Acute LAD ... Occlusion Remember ... STEMI Criteria misses ... #Clinical #Cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... without meeting ST ... elevation criteria ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology
RBBB Ventricular Tachycardia Criteria - Lead V1 - Telemetry Diagnosis
WCT is VT IF:
 • R >
- Lead V1 - Telemetry ... Diagnosis WCT ... is VT IF: • R ... V1 #diagnosis #cardiology ... #ekg #ecg #telemetry
LBBB Ventricular Tachycardia Criteria - Lead V1 - Telemetry Diagnosis
WCT is VT IF:
 • Initial r
- Lead V1 - Telemetry ... Diagnosis WCT ... is VT IF: • Initial ... V1 #diagnosis #cardiology ... #ekg #ecg #telemetry
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
ASAP: STEMI NSTEMI ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... #Indications #Cardiac ... catheterization #cardiology
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... similar but this ST ... 100% proximal occlusion ... #Diagonal1 #ECG ... #Cardiology #Clinical
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
CRITERIA Acute ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... Initiative #Management #Cardiology
Pava Criteria - R-Wave Peak Time (RWPT) - Lead II - Ventricular Tachycardia Criteria - Telemetry
Time (RWPT) - Lead ... is VT IF: RWPT ... #Tachycardia #WCT ... leadII #diagnosis #cardiology ... #ekg #ecg #RWPT
EKG with Cerebral T Waves in Subarachnoid Hemorrhage

ECG of a 45-year-old man who suddenly collapsed to
the ground in cardiac ... mimic coronary occlusion ... CT scan confirmed ... SAH and Cath Lab ... Hemorrhage #SAH #Cardiology