61 results
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
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
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... #Diagnosis #Cardiology
Proximal LAD STEMI with Anterior Wall Akinesis on POCUS

If you have trouble appreciating regional wall motion
Proximal LAD STEMI ... with Anterior Wall ... presenting with a ... proximal LAD STEMI ... Echocardiogram #PSAX #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... a patient with ... 100% Acute LAD Occlusion ... STEMI Criteria misses ... #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... in avL - early inferior ... posterior infarct, get a ... electrocardiogram #cardiology
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
Syndrome Type A ... stenosis of the left anterior ... descending (LAD ... Classification #Types #Cardiology ... #EKG #ECG #Electrocardiogram
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... a 360 degree view ... no contiguous lead ... #STEMI #Localization ... EmergencyMedicine #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... stenosis of proximal LAD ... becoming acute anterior ... often occur during a ... #Diagnosis #Cardiology
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Here’s a beautiful ... supplying part of the inferior ... exactly why the ECG ... anterolateral AND inferior ... Catheterization #CathLab #cardiology