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

1) Upsloping
Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... elevation in aVR ... #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
- Anterior OMI ... come before or after ... STEMI - look for ... ST elevation in ... #diagnosis #cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... atrial rhythm with ST ... elevations. ... Embolus through ... #STEMI #EKG #clinical
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... (or 40-60 ms after ... #EKG #diagnosis ... #differential #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... main coronary artery ... (LMCA). left anterior ... descending (LAD ... #differential #cardiology
Wraparound LAD STEMI on Cardiac Cath
47 year old with chest pain. Ectopic atrial rhythm with ST
Wraparound LAD STEMI ... atrial rhythm with ST ... elevations. ... What's the culprit artery ... Embolus through
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
ST elevation with ... in aVL and in lead ... elevation in V1 ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
’s a beautiful angiogram ... shot after reperfusion ... exactly why the ECG ... Catheterization #CathLab ... #cardiology #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
or echo/angiogram ... have no pain - LAD ... in avL - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
QRS complex Pulmonary ... Embolism: • T-wave ... • Epicardial artery ... #ST #STEMI #Segment ... #diagnosis #cardiology