OMI Flashcards
Hyperacute T-waves - Inferior 1
Broad, asymmetrically peaked or ‘hyperacute’ T-waves seen in early stages of MI.
Disproportionately increased area under the ST segment and T wave compared to the QRS
“Inflating the T-wave like a balloon”
De Winter pattern = tall, prominent, symmetric, anterior precordial T waves with upsloping ST segment depression
Hyperacute T-waves - Inferior 2
Broad, asymmetrically peaked or ‘hyperacute’ T-waves seen in early stages of MI.
Disproportionately increased area under the ST segment and T wave compared to the QRS
“Inflating the T-wave like a balloon”
De Winter pattern = tall, prominent, symmetric, anterior precordial T waves with upsloping ST segment depression
Hyperacute T-waves - Inferior 3
Broad, asymmetrically peaked or ‘hyperacute’ T-waves seen in early stages of MI.
Disproportionately increased area under the ST segment and T wave compared to the QRS
“Inflating the T-wave like a balloon”
De Winter pattern = tall, prominent, symmetric, anterior precordial T waves with upsloping ST segment depression
Hyperacute T-waves - Inferior 4
Broad, asymmetrically peaked or ‘hyperacute’ T-waves seen in early stages of MI.
Disproportionately increased area under the ST segment and T wave compared to the QRS
“Inflating the T-wave like a balloon”
De Winter pattern = tall, prominent, symmetric, anterior precordial T waves with upsloping ST segment depression
Hyperacute T-waves - Anterior 1
Broad, asymmetrically peaked or ‘hyperacute’ T-waves seen in early stages of MI.
Disproportionately increased area under the ST segment and T wave compared to the QRS
“Inflating the T-wave like a balloon”
De Winter pattern = tall, prominent, symmetric, anterior precordial T waves with upsloping ST segment depression
Hyperacute T-waves - Anterior 2
Broad, asymmetrically peaked or ‘hyperacute’ T-waves seen in early stages of MI.
Disproportionately increased area under the ST segment and T wave compared to the QRS
“Inflating the T-wave like a balloon”
De Winter pattern = tall, prominent, symmetric, anterior precordial T waves with upsloping ST segment depression
Hyperacute T-waves - Anterior 3
Broad, asymmetrically peaked or ‘hyperacute’ T-waves seen in early stages of MI.
Disproportionately increased area under the ST segment and T wave compared to the QRS
“Inflating the T-wave like a balloon”
De Winter pattern = tall, prominent, symmetric, anterior precordial T waves with upsloping ST segment depression
Hyperacute T-waves - Anterior 4
Broad, asymmetrically peaked or ‘hyperacute’ T-waves seen in early stages of MI.
Disproportionately increased area under the ST segment and T wave compared to the QRS
“Inflating the T-wave like a balloon”
De Winter pattern = tall, prominent, symmetric, anterior precordial T waves with upsloping ST segment depression
Hyperacute T-waves - Anterior 5
Broad, asymmetrically peaked or ‘hyperacute’ T-waves seen in early stages of MI.
Disproportionately increased area under the ST segment and T wave compared to the QRS
“Inflating the T-wave like a balloon”
De Winter pattern = tall, prominent, symmetric, anterior precordial T waves with upsloping ST segment depression
Posterior MI - 1
ST depression maximal in V1-V4 (rather than V4-V6 as in diffuse demand ischemia)
Horizontal ST depression
Not technically in STEMI criteria, but some consider 0.5 mm in one posterior lead sufficient
Posterior MI - 2
ST depression maximal in V1-V4 (rather than V4-V6 as in diffuse demand ischemia)
Horizontal ST depression
Not technically in STEMI criteria, but some consider 0.5 mm in one posterior lead sufficient
Posterior MI - 3
ST depression maximal in V1-V4 (rather than V4-V6 as in diffuse demand ischemia)
Horizontal ST depression
Not technically in STEMI criteria, but some consider 0.5 mm in one posterior lead sufficient
Posterior MI - 4
ST depression maximal in V1-V4 (rather than V4-V6 as in diffuse demand ischemia)
Horizontal ST depression
Not technically in STEMI criteria, but some consider 0.5 mm in one posterior lead sufficient
Posterior MI - 5
ST depression maximal in V1-V4 (rather than V4-V6 as in diffuse demand ischemia)
Horizontal ST depression
Not technically in STEMI criteria, but some consider 0.5 mm in one posterior lead sufficient
Posterior MI - 6
ST depression maximal in V1-V4 (rather than V4-V6 as in diffuse demand ischemia)
Horizontal ST depression
Not technically in STEMI criteria, but some consider 0.5 mm in one posterior lead sufficient
STE < STEMI criteria
OMI may manifest in any wall of the heart with STE that is simply less than the criteria, or not in two contiguous leads
STE < STEMI criteria - 2
OMI may manifest in any wall of the heart with STE that is simply less than the criteria, or not in two contiguous leads
STE < STEMI criteria - 3
OMI may manifest in any wall of the heart with STE that is simply less than the criteria, or not in two contiguous leads
STE < STEMI criteria - 3
OMI may manifest in any wall of the heart with STE that is simply less than the criteria, or not in two contiguous leads
STE < STEMI criteria - 4
OMI may manifest in any wall of the heart with STE that is simply less than the criteria, or not in two contiguous leads
STE < STEMI criteria - 5
OMI may manifest in any wall of the heart with STE that is simply less than the criteria, or not in two contiguous leads
STE < STEMI criteria - 6
OMI may manifest in any wall of the heart with STE that is simply less than the criteria, or not in two contiguous leads
STE < STEMI criteria - 7
OMI may manifest in any wall of the heart with STE that is simply less than the criteria, or not in two contiguous leads
LBBB - 0
Modified Sgarbossa Criteria
Concordance at least 1mm
Discordance at least 25% of preceding S-wave
LBBB - 1
Modified Sgarbossa Criteria
Concordance at least 1mm
Discordance at least 25% of preceding S-wave
LBBB - 2
Modified Sgarbossa Criteria
Concordance at least 1mm
Discordance at least 25% of preceding S-wave
LBBB - 3
Modified Sgarbossa Criteria
Concordance at least 1mm
Discordance at least 25% of preceding S-wave
LBBB - 4
Modified Sgarbossa Criteria
Concordance at least 1mm
Discordance at least 25% of preceding S-wave
LBBB - 5
Modified Sgarbossa Criteria
Concordance at least 1mm
Discordance at least 25% of preceding S-wave
Ventricular Paced Rhythm - 0
Modified Sgarbossa Criteria
Concordance at least 1mm
Discordance at least 25% of preceding S-wave
Ventricular Paced Rhythm - 1
Modified Sgarbossa Criteria
Concordance at least 1mm
Discordance at least 25% of preceding S-wave
Ventricular Paced Rhythm - 2
Modified Sgarbossa Criteria
Concordance at least 1mm
Discordance at least 25% of preceding S-wave
Ventricular Paced Rhythm - 3
Modified Sgarbossa Criteria
Concordance at least 1mm
Discordance at least 25% of preceding S-wave
Ventricular Paced Rhythm - 5
Modified Sgarbossa Criteria
Concordance at least 1mm
Discordance at least 25% of preceding S-wave
ACS with new RBBB + LAFB - 0
Usually with anterolateral STE
High risk sign of proximal LAD OMI
ACS with new RBBB + LAFB - 1
Usually with anterolateral STE
High risk sign of proximal LAD OMI
ACS with new RBBB + LAFB - 2
Usually with anterolateral STE
High risk sign of proximal LAD OMI
ACS with new RBBB + LAFB - 3
Usually with anterolateral STE
High risk sign of proximal LAD OMI
ACS with new RBBB + LAFB - 3
Usually with anterolateral STE
High risk sign of proximal LAD OMI
ACS with new RBBB + LAFB - 5
Usually with anterolateral STE
High risk sign of proximal LAD OMI
Right Ventricular MI - 0
STE in V1, usually in the setting of inferior OMI
Some consider one right-sided lead with > 0.5 mm “diagnostic”
Right Ventricular MI - 1
STE in V1, usually in the setting of inferior OMI
Some consider one right-sided lead with > 0.5 mm “diagnostic”
Right Ventricular MI - 3
STE in V1, usually in the setting of inferior OMI
Some consider one right-sided lead with > 0.5 mm “diagnostic”
Right Ventricular MI - 4
STE in V1, usually in the setting of inferior OMI
Some consider one right-sided lead with > 0.5 mm “diagnostic”
Right Ventricular MI - 5
STE in V1, usually in the setting of inferior OMI
Some consider one right-sided lead with > 0.5 mm “diagnostic”
Left Main ACS - 0
ACS + diffuse STD + aVR STE
Does not generally equal LM occlusion (which presents as sudden death or OMI), but can be critical thrombotic stenosis which benefits from intervention
Left Main ACS - 1
ACS + diffuse STD + aVR STE
Does not generally equal LM occlusion (which presents as sudden death or OMI), but can be critical thrombotic stenosis which benefits from intervention
Left Main ACS - 2
ACS + diffuse STD + aVR STE
Does not generally equal LM occlusion (which presents as sudden death or OMI), but can be critical thrombotic stenosis which benefits from intervention
Left Main ACS - 4
ACS + diffuse STD + aVR STE
Does not generally equal LM occlusion (which presents as sudden death or OMI), but can be critical thrombotic stenosis which benefits from intervention
Left Main ACS - 3
ACS + diffuse STD + aVR STE
Does not generally equal LM occlusion (which presents as sudden death or OMI), but can be critical thrombotic stenosis which benefits from intervention
Wellen’s syndrome
