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

1) Upsloping
Pattern STEMI ... anterior descending (LAD ... ) Upsloping ST elevation ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... So ANY ST Elevation ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... rhythm with ST elevations ... RCA did not supply ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... aVR • Classic EKG ... #electrocardiogram ... #differential # ... cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
, long P • ↑ Ca ... #EKG #Checklist ... #diagnosis #cardiology ... #electrocardiogram ... #differential
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
ve in I, II - LAD ... 500 DANGER - Short ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential ... Diagnosis Framework STEMI ... #Elevation #differential ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... V6 has ST elevation ... #Modified #EKG ... #Electrocardiogram ... #Clinical #Cardiology