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

1) Upsloping
Winter T Wave ECG ... Pattern STEMI Equivalent ... elevation in aVR ... DeWinter #TWaves #ECG ... #EKG #Electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Subepicardial atrial injury ... • Classic EKG ... #AVR #leadAVR #ecg ... electrocardiogram #diagnosis #ekg
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... dep and peaked ... #Ischemia #ECG ... #EKG #diagnosis ... Interpretation #differential
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Typical ECG changes ... depression in aVR ... indicates atrial injury ... patients) stage 4 - ECG ... #EKG #Pericarditis
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
the morbidity and ... need for urgent treatment ... features of the EKG ... #EKG #ECG #STElevation ... #STSegment #Differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... on ECG • Conventional ... elevation in aVR ... #ECG #EKG #diagnosis ... #differential #
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
Pericarditis, Tamponade EKG ... Findings: - AV ... (ST elevation), ... Low voltage Treatment ... #summary #biopsy
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... assoc with 1K, AV ... Syncope #Syndromes #ECG ... #EKG #Checklist ... electrocardiogram #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Elevation - Differential ... depression in aVR ... depression in aVR ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
microvascular injury ... associated with ST ... changes on tele/ECG ... tests in cath lab Treatment ... Prinzmetal #Angina #cardiology