16 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... wave inversion in avL ... #EKG #diagnosis ... electrocardiogram #cardiology
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... look in occlusion MI ... in leads 1 and avl ... #ECG #EKG #Electrocardiogram ... #POCUS
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... ve in I, II - LAD ... Short QT <300-360 ms ... #EKG #diagnosis ... electrocardiogram #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... Activate cath lab ... A4c #clinical #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Checklist for diagnosing ... MI in LBBB or Pacemaker ... Criteria - Suspect STEMI ... electrocardiogram #ecg ... #cardiology #lbbb
Osgood-Schlatter Disease - MSK Radiology
Imaging Findings:
 • Infrapatellar fat-pad edema with loss of the patellar tendon
Osgood-Schlatter Disease - MSK ... DOES NOT OSD in all ... • MRI is more sensitive ... patella #clinical #mri ... #diagnosis #msk
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... segment at (or 40-60 ms ... of the leads l, aVL ... #EKG #diagnosis ... #differential #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism on ECG ... Sister had MI in ... Differential/diagnosis ... See thread for POCUS ... #clinical #cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
younger than other ACS ... Pathophysiology: ... changes on tele/ECG ... tests in cath lab ... Prinzmetal #Angina #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... ventricle pacing lead ... STElevation #ST #STEMI ... #cardiology #ecg