When we see STEMI, we are hopefully familiar with the obvious ST elevation that even an Uber driver could see. Then we have our more subtle STEMIs or OMIs (Occlusion MI). But what do you think about an ECG that looks like this? This could easily be diagnosed as a wide complex sinus tachycardia but …
After I finished school, I was told that you couldn’t diagnose a STEMI on a 12 lead if the patient had a left bundle branch block (LBBB). After furthering my studies, I have learned that… yes… yes you can. When I hear that providers can’t diagnose a in a LBBB ECG, I feel like I …
STEMI Equivalents: LBBB (Smith-Sgarbossa Criteria) Read More »
This is our second installment of STEMI Equivalents. Check out our first one on Wellen’s Syndrome. So let’s get started! De Winter’s T waves are seen in around 2% of LAD occlusions. Because it is not very common, many clinicians do not catch this and because of this, many patients do unfortunately experience loss of …
For those who wish to watch on YouTube: When it comes to ECGs, you know that we highly recommend them for pretty much every single patient. It can be done on any patient from anywhere. You just need to learn how to increase your knowledge on squiggles on a piece of paper. In emergency situations, …
Is This a STEMI? ECG Changes in TBI and Increased ICP Patients Read More »
If you want to watch the YouTube video on this post check out the video below. Before we get into how to read a 12 lead ECG, we recommend that you review the normal anatomy and conduction pathways of the heart. When you see a 12-lead do you freeze and get overwhelmed? It happens to …
A Systematic Approach to Interpreting a 12 Lead ECG Read More »
S1Q3T3….S1Q3T3… We are taught this time and time again when using a 12-lead ECG to help confirm the presence of PE. If you look at the literature, this sign is insensitive and non-specific for PE and only occurs in 20% of cases. This sign is shown in many types of respiratory issues that cause right …