18 results
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
meeting ST elevation ... criteria • Posterior ... T Waves • De ... #STEMI #equivalent ... #diagnosis #cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... descending (LAD) occlusion ... #DeWinter #TWaves ... #Diagnosis #Cardiology ... #Criteria
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
OMI - 2% of left ... anterior descending occlusions ... before or after STEMI ... FOAMfrat #DeWinter #TWaves ... #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
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
for diagnosing MI ... Discordance" = ST ... STEMI if any of ... electrocardiogram #ecg ... #cardiology #lbbb
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... criterion 1 - ST ... criterion 2 - ST ... • Sgarbossa criterion ... #differential #cardiology
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
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... criteria in the ... in lead V6 has ST ... elevation 2.5mm/S-wave ... #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... - Ischemia MI ... = Biomarkers + ECG ... early inferior MI ... electrocardiogram #cardiology