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

1) Upsloping
ECG Pattern STEMI ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
Patterns of Ischemia T-Waves on ECG

However, there are more kinds of ischemia than just STEMI and
of Ischemia T-Waves ... ischemia than just STEMI ... #Diagnosis #Cardiology ... #ECG #EKG #NSTEMI ... Ischemic #Ischemia #TWaves
ST Elevation MI Criteria 
#Diagnosis #Cardiology #ECG #EKG #STEMI #STElevationMI #Criteria #FOAMCast
ST Elevation MI Criteria ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI ... STElevationMI #Criteria
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 β€’ Posterior MI
meeting ST elevation criteria ... β€’ Hyperacute T Waves ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #ecg #ekg
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... before or after STEMI ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #Electrocardiogram ... #diagnosis #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 #lbbb
Hyperkaelemia ECG Features - With mild to moderate hyperkalemia, there is reduction of the size of
Hyperkaelemia ECG ... size of the P wave ... complex, and the ECG ... #Diagnosis #Cardiology ... #Progression #Criteria
STEMI Equivalents on ECG
 β€’ Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG β€’ Conventional ... β€’ Sgarbossa criterion ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... new/old infarct STEMI ... #EKG #diagnosis ... electrocardiogram #cardiology
Hyperkalemia on EKG
"Mild" Hyperkalemia
 β€’ Peaked, narrow-based T Waves
 β€’ Double counting of HR by EKG
narrow-based T Waves ... Loss of visible P waves ... β€’ Pseudo-STEMI ... rhythm β€’ "Sine wave ... #cardiology #diagnosis