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

1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram ... #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
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... depression • Sgarbossa ... • Sgarbossa criterion ... #Equivalents #ECG ... #differential #cardiology
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 ... #Inpatient #CathLab ... #Indications #Cardiac ... catheterization #cardiology
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 ... avR - proximal LAD ... electrocardiogram #cardiology
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 ... 2.5mm/S-wave 6mm ... #Clinical #Cardiology
EKG with Cerebral T Waves in Subarachnoid Hemorrhage

ECG of a 45-year-old man who suddenly collapsed to
the ground in cardiac ... There are ST deviations ... confirmed SAH and Cath Lab ... EM_RESUS #Cerebral #TWaves ... Hemorrhage #SAH #Cardiology
Wraparound LAD STEMI on Cardiac Cath
47 year old with chest pain. Ectopic atrial rhythm with ST
Wraparound LAD STEMI ... on Cardiac Cath ... atrial rhythm with ST ... #cardiology #CardiacCath ... #CathLab #fluoroscopy
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
combination of ST ... the De Winter ECG ... in 2% of acute LAD ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... ventricle pacing lead ... #STEMI #Segment ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram