15 results
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... Remember that RBBB ... So ANY ST Elevation ... STEMI Criteria misses ... #Clinical #Cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... anterior descending (LAD ... elevation in aVR ... #Diagnosis #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... Discordance" = ST ... Criteria - Suspect STEMI ... electrocardiogram #ecg ... #cardiology #lbbb
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... have no pain - LAD ... in V1, unless LBBB ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... STEMI - Elevation ... Sgarbossa criterion 3 (modified ... #Equivalents #ECG ... #differential #cardiology
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa ... for diagnosing STEMI ... elevation of greater ... ≥ 1mm (in any lead ... S #Diagnosis #Cardiology
What is the new modified Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead
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What is the new modified ... elevation ≥ 1 mm ... ≥ 1 mm in lead ... 0.25 #Diagnosis #Cardiology ... Criteria #STSRatio #LBBB
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... atrial rhythm with ST ... elevations. ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... complex 10 in lead ... V6 has ST elevation ... #Modified #EKG ... Electrocardiogram #Clinical #Cardiology
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
elevation with ... in aVL and in lead ... elevation in V1 ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior