31 results
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
Wellen's Syndrome ... critical stenosis ... of the left anterior ... descending (LAD ... Classification #Types #Cardiology
Proximal LAD STEMI on EKG

Pt required pressors to get to PCI.

Eric Abrams, MD @eabramsMD

#Proximal #LAD #STEMI
Proximal LAD STEMI ... #Proximal #LAD ... #STEMI #EKG #ECG ... #clinical #cardiology ... Electrocardiogram #Anterior
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... becoming acute anterior ... often occur during a ... #Diagnosis #Cardiology
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
ECG of a 32-year-old ... lady with chest ... 100% proximal LAD ... #EKG #STEMI #Clinical ... #Cardiology
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
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Wellens Syndrome ... with a critical ... of the proximal LAD ... ST segment Type A: ... #ecg #cardiology
Wellens' Syndrome on ECG

A 66-year-old man with hypertension and hyperlipidemia presents after an episode of severe
Wellens' Syndrome ... on ECG A 66- ... A 12-lead ECG is ... #Wellens #Syndrom ... #Clinical #Cardiology
Proximal LAD STEMI with Anterior Wall Akinesis on POCUS

If you have trouble appreciating regional wall motion
Proximal LAD STEMI ... with Anterior Wall ... proximal LAD STEMI ... Echocardiogram #PSAX #Cardiology ... #STEMI #Clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
STE in avR - Wellen's ... have no pain - LAD ... in avL - early inferior ... posterior infarct, get a ... electrocardiogram #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
a patient with ... 100% Acute LAD Occlusion ... STEMI Criteria misses ... @EM_RESUS #LAD ... #Clinical #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... ratio > 1 in V2 • Wellens ... chest pain • Wellens ... #Equivalents #ECG ... #differential #cardiology