11 results
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
The electrocardiogram ... anatomically oriented ST-segment ... elevation #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #Equivalents
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
urgent treatment, STEMI ... features of the EKG ... : #Diagnosis #Cardiology ... #EKG #ECG #STElevation ... #STSegment #Differential
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
So ANY ST Elevation ... isolectric ST segment ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
before or after STEMI ... - look for ST elevation ... - Upsloping ST segment ... #ECG #Electrocardiogram ... #diagnosis #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Elevation - Differential ... #ST #STEMI #Segment ... #Elevation #differential ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... of ST segment at ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... on EKG 47 year ... rhythm with ST elevations ... RCA did not supply ... #cardiology #electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
aVR • Classic EKG ... #electrocardiogram ... #diagnosis #ekg ... #differential # ... cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
deWinter T waves - starts ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
, long P • ↑ Ca ... #EKG #Checklist ... #diagnosis #cardiology ... #electrocardiogram ... #differential