Pericarditis

Diffuse ST elevation, without reciprocal ST depression, mostly in inferior limb leads and lateral precordial leads. This is very typical for pericarditis.

ACLS Revision: Subtle ECG findings in ACS

ST-segment elevation in lead aVR portends a worse prognosis in ACS and often predicts the need for CABG. Hyperacute T-waves are not necessarily tall, and small T-waves can still be hyperacute when paired with a low-amplitude QRS complex. The tall T-waves associated with hyperkalemia are sharp, pointy, symmetric, and have a narrow base. When in […]

Must know ECGs

First Diagonal Branch of the Left Anterior Descending Artery Occlusion De Winter’s T Waves Left Main Coronary Artery Occlusion Wellens’ Syndrome Posterior Wall AMI

The Elevated Troponin

  Causes of Elevated Troponin Noncardiac Causes Cardiac Causes Acute Noncardiac Critical Illness Acute and Chronic Heart Failure Acute Pulmonary Edema Acute Inflammatory Myocarditis or Endocarditis/Pericarditis Acute Pulmonary Embolism Aortic Dissection Cardiotoxic Drugs Aortic Valve Disease Stroke, Subarachnoid hemorrhage Apical Ballooning Syndrome Chronic Obstructive Pulmonary Disease Bradyarrhythmia, Heart Block Chronic renal failure Cardiac contusion from […]

Hidden heart attacks…

Criteria for diagnosis of posterior STEMI include: ST-depression ≥0.5mm in leads V1-V3. Associated T-waves are either upright or inverted. Appearance of tall R-waves in V1-V2 (may be delayed). Recommended: posterior chest wall leads (V7-V9 ≥0.5 mm* ST-elevation). *may be decreased secondary to increased distance of posterior leads from heart.

Emergency Medicine Kenya Foundation