Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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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3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
meeting ST elevation criteria ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #cardiology #electrocardiogram ... #ecg #ekg
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Main Coronary Artery ... Occlusion on ECG ... #Artery #ECG #EKG ... #Diagnosis #Electrocardiogram ... #Cardiology #Criteria
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

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

Remember that RBBB normally has ST
100% Acute LAD Occlusion ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... #Electrocardiogram ... #Clinical #Cardiology
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
, STEMI 1 STABLE ... causing partial occlusion ... causes partial occlusion ... is reflected by ECG ... #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
anterior descending occlusions ... come before or after ... STEMI - look for ... #ECG #Electrocardiogram ... #diagnosis #cardiology
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... : electrocardiogram ... PASP: pulmonary artery ... #Diagnosis #Cardiology ... #Table #Assessment
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... predicted Left main occlusion ... established, but died on table ... CathLab #clinical #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
- Diagnostic Checklist ... for diagnosing ... - Suspect STEMI ... #electrocardiogram ... #ecg #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... at (or 40-60 ms after ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram