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

1) Upsloping
ECG Pattern STEMI ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... TWaves #ECG #EKG #Electrocardiogram ... Diagnosis #Cardiology #Criteria
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
without meeting ST ... elevation criteria ... MyocardialInfarction #OMI #STEMI ... diagnosis #cardiology #electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
RBBB normally has ST ... an isolectric ST ... STEMI Criteria misses ... Total #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... , Aortic dissection ... big R or R/S>I STEMI ... EKG #diagnosis #electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... depression • Sgarbossa criterion ... V6 • Sgarbossa criterion ... • Sgarbossa criterion ... differential #cardiology #electrocardiogram
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
Pericardial Clot on Echocardiogram ... ST elevation ... misdiagnosed as STEMI ... clot #thrombus #Echocardiogram ... #POCUS #clinical
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... Discordance" = ST ... - Suspect STEMI ... #Sgarbossa #Criteria ... Checklist #EKG #electrocardiogram
Knuckle Sign on ECG - Acute Pericarditis

Electrocardiogram of a 68-year-old woman two days after coronary artery
Pericarditis Electrocardiogram ... effusion seen on an echocardiogram ... except for the ST ... Pericarditis #ECG #EKG #Electrocardiogram ... #Clinical #LeadAVR
Severity of Aortic Stenosis in Adults 
Current ACC/AHA guidelines recommend cut-off values for Doppler-echocardiographic measurements of
Severity of Aortic ... as follows: aortic ... ESC guidelines set ... common problem in clinical ... Classification #Severity #Criteria
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... from LMCA into aortic ... in shock with VT ... Angiogram #CathLab #clinical