LVH Archives - Emergency Medicine Cases

ECG Cases 54 The Art of Occlusion MI: Scale and Proportionality

On this month's ECG Cases, Dr. Jesse McLaren explains how STEMI criteria can be false positive with large scale QRS and proportional ST elevation, or false negative with low/normal scale QRS and disproportionate ST elevation and hyperacute T waves, and that rules for subtle occlusion using proportionality can help differentiate LBBB with or without Occlusion MI, or LV aneurysm vs anterior STEMI with Q waves... Please consider a donation to EM Cases to ensure continued Free Open Access Medical Education here: https://emergencymedicinecases.com/donation/

By Jesse McLaren|2025-02-17T12:26:20-05:00February 17th, 2025|Categories: Cardiology, ECG Cases, EM Cases, Emergency Medicine|Tags: Dr. Jesse McLaren, early repolarization, ECG, ECG interpretation, LBBB, LVH, occlusion MI, STEMI|0 Comments

ECG Cases 42 – Approach to ECG Interpretation in Patients with Chest Pain: OMI, False Positive & Negative STEMI & Other Causes

In this ECG Cases blog we look at 10 cases of patients with chest pain, including false positive STEMI, false negative STEMI, and other causes to help hone your ECG interpretation skills in time-sensitive cases where those very ECG skills might save a life...

By Jesse McLaren|2023-05-12T13:36:17-04:00May 10th, 2023|Categories: Cardiology, ECG Cases, EM Cases, Emergency Medicine|Tags: aortic dissection, ECG, ECG interpretation, LVH, occlusion MI, pericarditis, pulmonary embolism, Scarbossa criteria, STEMI|0 Comments

ECG Cases 17 – ST ELEVATIONS mnemonic and Occlusion MI

In this ECG Cases blog we look at 10 patients who presented with ST elevation, and review the differential diagnosis of ST elevation using the ELEVATIONS mnemonic. Which had occlusion MI?

By Jesse McLaren|2021-01-12T09:42:36-05:00January 12th, 2021|Categories: Cardiology, ECG Cases, EM Cases, Emergency Medicine, Medical Specialty|Tags: Brugada, ECG, hyperkalemia, LBBB, LVH, occlusion MI, pericarditis, STEMI|0 Comments

ECG Cases 13: LVH and Occlusion MI

LVH produces secondary repolarization abnormalities that can mimic STEMI. Signs of occlusion MI in patients with LVH include: new Q waves/loss of R waves, disproportionate and dynamic ST elevation (or ST depression from posterior MI), and hyperacute T waves. In this ECG Cases blog we look at 6 patients who presented with potentially ischemic symptoms and LVH on their ECG. Which had an acute coronary occlusion?

By Jesse McLaren|2022-08-14T22:08:57-04:00September 15th, 2020|Categories: Cardiology, ECG Cases, EM Cases, Medical Specialty|Tags: ECG, LVH, occlusion MI, STEMI|0 Comments