55 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
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
lady with chest ... 100% proximal LAD ... #EKG #STEMI #Clinical ... #ECG #EKG #Electrocardiogram ... #Cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... anterior descending (LAD ... ST depressions and ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
upsloping ST dep and ... have no pain - LAD ... avR - proximal LAD ... #electrocardiogram ... #cardiology #STEMI
ASD on Bubble Contrast Echocardiogram (a4c)
A patient with an anterior STEMI (take a look at the
ASD on Bubble Contrast ... with an anterior STEMI ... previously undiagnosed ASD ... septal #defect #ASD ... #clinical #cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
: 1. ... worsening MR, new VSD ... /UA, TIMI low (1- ... 2) risk, +ECG changes ... catheterization #cardiology
Torsades, STEMI with LAD Occlusion and PCI

Truly remarkable case.
 
🚑😵Arrest➡️Mg+⚡️➡️😧awake➡️cath lab➡️100% LAD➡️🙏👍🏻❤️

- Dr. Edward Lew
@elewMD

#Torsades #LADOcclusion
Torsades, STEMI ... and PCI Truly ... #LADOcclusion #STEMI ... #PCI #Electrocardiogram ... #ECG #EKG #Clinical
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
Severe CP x 1 ... hour, Ant/Sept STEMI ... on EKG. ... Echocardiogram #PSAX #Clinical ... #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... High rate in <1 ... without chest pain, as ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology