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CV-Cardiovascular

EMER-Emergency Medicine

HOSP-Hospital Medicine

Straight Talk on Crooked Lines: Emergency EKG Updates

Sunday, May 18, 2025

8:00 AM - 9:00 AM

Location: Colorado Convention Center, Four Seasons 1

CE: 1.00 AAPA Category 1 CME

Michael A. Sharma, MPAS, PA-C

Emergency Medicine PA / Adjunct Professor
UT Southwestern Medical Center, Dallas, TX / Mercy College of Ohio, Dayon, OH
Farmers Branch, TX, United States

Handout

With the ACC update on STEMI equivalents and ischemia equivalents there is a new emphasis on certain potentially pathologic EKG findings. EKG literature continues to advance and further refines when we should be activating the cath lab or potentially discharging patients despite abnormal EKGs. Go beyond the guidelines to hear the latest from the EKG literature on can't-miss findings and concerning, but likely benign, waveforms.

Learning Objectives:

At the conclusion of this session, participants should be able to:

Recognize the ischemia and STEMI equivalents from the ACC guidelines for evaluation of chest pain in the emergency department
Utilize Seamens' Sign for easier diagnosis of left ventricular hypertrophy
Describe the true specificity of ST elevation in lead aVR with regards to identifying coronary ischemia
Define hyperacute T waves and ways to identify these T waves concerning for early MI