15 results
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
need for urgent treatment ... , STEMI is the default ... features of the EKG ... #EKG #ECG #STElevation ... #STSegment #Differential
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
probable inferior STEMI ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia ... #VT
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... or echo/angiogram ... #Ischemia #ECG ... #EKG #diagnosis ... Interpretation #differential
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential ... believe that the ST ... segment is the only ECG ... Algorithm #cardiology ... diagnosis #coronary #syndrome
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... point • De Winter syndrome ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
is additional ST ... diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... in shock with VT ... Thrombus #LMCA #Angiogram ... #CathLab #clinical
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
with reciprocal ST ... suggestive of STEMI ... suggestive of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Elevation - Differential ... Diagnosis Framework STEMI ... #STEMI #Segment ... #Elevation #differential ... #ecg #ekg #electrocardiogram
Premature Ventricular Complexes (PVC's) - Summary Framework

Why PVCs?  Can be the first manifestation of cardiac
(e.g., long QT ... syndrome, ARVC) ... EKG Findings ... more intensive treatment ... #cardiology