Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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ST Elevation MI Criteria 
#Diagnosis #Cardiology #ECG #EKG #STEMI #STElevationMI #Criteria #FOAMCast
ST Elevation MI ... Criteria #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #STElevationMI ... #Criteria #FOAMCast
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 β€’ Posterior MI
meeting ST elevation criteria ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #cardiology #electrocardiogram ... #ecg #ekg
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... DeWinter #TWaves #ECG ... #Diagnosis #Cardiology ... #Criteria
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
urgent treatment, STEMI ... is the default diagnosis ... : #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
Here’s an ECG of ... STEMI Criteria misses ... Occlusion #Total #ECG ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Sgarbossa Criteria - MI Diagnosis in LBBB or Paced Rhythm 

#Diagnosis #Cardiology #EKG #Sgarbossa #Criteria #Modified
Sgarbossa Criteria ... - MI Diagnosis ... Paced Rhythm #Diagnosis ... #Cardiology #EKG ... #Sgarbossa #Criteria
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential ... segment is the only ECG ... #Differential # ... Algorithm #cardiology ... myocardial #infarction #diagnosis
TCA Overdose on EKG
 β€’ Sinus tachycardia
 β€’ QRS prolongation
 β€’ QT prolongation
 β€’ Rightward deviation
TCA Overdose on EKG ... antidepressants #EKG ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical #criteria
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
for diagnosing ... MI in LBBB or Pacemaker ... - Suspect STEMI ... electrocardiogram #ecg ... #cardiology #lbbb