PODCAST: The Ischemic EKG Deep Dive

The 6 STEMI Equivalents: Posterior MI ST Depression V2/V3 (or STE in V7-V9) Right Ventricular MI STE V1 associated with inferior MI ; or STE V4R-V6R Wellens Syndrome Type A: Biphasic T-waves V2/3 Type B: Deep Symmetric T-wave Inversion V2/V3 De Winter’s T Wave ST Depression with a large, symmetric, upright T wave STE avR with diffuse ST-Depression Usually a strain pattern due to underlying pathology, in correct clinical context can represent a left main or proximal LAD coronary occlusion Modified Sgarbossa Criteria in LBBB Concordant STE in any lead Concordant ST Depression in V1-V3 Excessive Discordance (ST/S ratio >0.25) Other atypical ischemic EKG findings: Isolated TWI in avL – early sign of inferior MI Hyperacute TWave NTTV1 (New Tall T-wave in V1) Further Reading (see photos in the article): ECG Diagnosis of Life-Threatening STEMI Equivalent’s: Journal of the American College of CardiologyThe post PODCAST: The Ischemic EKG Deep Dive first appeared on האיגוד הישראלי לרפואה דחופה.