17 results
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... meeting ST elevation ... criteria • Posterior ... #STEMI #equivalent ... #diagnosis #cardiology
ST Elevation MI Criteria 
#Diagnosis #Cardiology #ECG #EKG #STEMI #STElevationMI #Criteria #FOAMCast
ST Elevation MI ... Criteria #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #STElevationMI ... #Criteria #FOAMCast
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI ... believe that the ST ... segment is the only ECG ... EMNews #ACS #OMI ... #Algorithm #cardiology
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Main Coronary Artery ... Occlusion on ECG ... #Artery #ECG #EKG ... Electrocardiogram #Cardiology ... #Criteria
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

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

Remember that RBBB normally has ST
100% Acute LAD Occlusion ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... #Total #ECG #EKG ... Electrocardiogram #Clinical #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
- Anterior OMI ... anterior descending occlusions ... come before or after ... STEMI - look for ... #diagnosis #cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... predicted Left main occlusion ... established, but died on table ... CathLab #clinical #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
CRITERIA Acute ... Ischemic Symptoms  EKG ... biomarker evidence of AMI ... (STEMI or NSTEMI ... Initiative #Management #Cardiology
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... PASP: pulmonary artery ... #Diagnosis #Cardiology ... Classification #Grades #Criteria ... #Table #Assessment