12 results
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
LAD Coronary Artery ... Dissection on POCUS ... hour, Ant/Sept STEMI ... on EKG. ... PSAX #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... wave inversion in avL ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
on EKG 47 year ... What's the culprit artery ... #EKG #clinical ... #cardiology #electrocardiogram ... #ecg
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
on ECG This ... how subtle an EKG ... in leads 1 and avl ... #ECG #EKG #Electrocardiogram ... #POCUS
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... after) the J point ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Main Coronary Artery ... “Mother of all ... Anterior wall STEMI ... Cardiogenic shock, ECG ... CathLab #clinical #cardiology
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
attributed to coronary artery ... younger than other ACS ... Pathophysiology: ... changes on tele/ECG ... Prinzmetal #Angina #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... • Epicardial artery ... STElevation #ST #STEMI ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
The ECG shows ST elevation (STE) across the precordium, highest in V2 and V3. There are
The ECG shows ST ... any R-wave at all ... prior MI (also ... #Clinical #EM #Cardiology ... #EKG #Aneurysm
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
mortality in inferior MI ... RV dysfunction. e.g ... forward flow. e.g ... Ahmed Ghoneem, MD MSc ... catheter #diagnosis #cardiology