11 results
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Wraparound LAD on ... Answer: Proximal “Wraparound ... exactly why the ECG ... Catheterization #CathLab ... #cardiology #clinical
Wraparound LAD STEMI on Cardiac Cath
47 year old with chest pain. Ectopic atrial rhythm with ST
Wraparound LAD STEMI ... LAD. ... #LAD #STEMI #clinical ... #cardiology #CardiacCath ... #CathLab #fluoroscopy
Proximal LAD STEMI on EKG

Pt required pressors to get to PCI.

Eric Abrams, MD @eabramsMD

#Proximal #LAD #STEMI
Proximal LAD STEMI ... on EKG Pt required ... #STEMI #EKG #ECG ... #clinical #cardiology ... Electrocardiogram #Anterior
Anterior STEMI. Non surgical candidate. What’s your plan?

Dr. James Nadel @jimmy_nardel

#Anterior #STEMI #LAD #CathLab #CardiacCath #Cardiology
Anterior STEMI. ... jimmy_nardel #Anterior ... #STEMI #LAD #CathLab ... #CardiacCath #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
ASAP: STEMI NSTEMI ... prior to d/c: NSTEMI ... low (1-2) risk, +ECG ... #Inpatient #CathLab ... catheterization #cardiology
RCA Aneurysm with TTO

57 yo male, dyslipidemia. Arrives w/ 4 hours inferior + RV STEMI in
Arrives w/ 4 hours inferior ... + RV STEMI in cardiogenic ... #CathLab. ... He had a proximal ... #CardiacCath #Cardiology
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
open proximal LAD ... to a wraparound ... the anterior wall ... #Clinical #EM #Cardiology ... #EKG #DeWinter
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... have no pain - LAD ... avR - proximal LAD ... #EKG #diagnosis ... electrocardiogram #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Capture: Narrow, different ... opposite direction to ... Criteria - Suspect STEMI ... Diagnosis #Checklist #EKG ... #cardiology #lbbb
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... QRS complex Pulmonary ... STElevation #ST #STEMI ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram