15 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
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... 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 ... STEMI Criteria misses ... #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 ... before or after STEMI ... #ECG #Electrocardiogram ... #diagnosis #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
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 ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
by D1 of LAD & OM1 ... similar but this ST ... 100% proximal occlusion ... LAD #Diagonal1 #ECG ... #Cardiology #Clinical
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
for diagnosing MI ... Discordance" = ST ... - Suspect STEMI ... electrocardiogram #ecg ... #cardiology #lbbb