9 results
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 ... He had a proximal ... #RCA #Coronary # ... #Cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Left Main Coronary ... old male with Anterior ... wall STEMI, in ... LMCA #Angiogram #CathLab ... #clinical #cardiology
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
stenosis of the left anterior ... descending (LAD ... ) coronary artery ... Classification #Types #Cardiology ... #EKG #ECG #Electrocardiogram
EKG - Anterolateral STEMI with Tombstones 

Here’s an impressive #ECG of a man with chest pain
EKG - Anterolateral ... STEMI with Tombstones ... 100% Proximal LAD ... troponin to rule out Coronary ... #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
-4 can have no pain ... - LAD stenosis ... avR - proximal LAD ... in avL - early inferior ... electrocardiogram #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... indicative of left main ... (LMCA). left anterior ... descending (LAD ... #differential #cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
female with chest pain ... Triage EKG (no prior ... inversions V1-V4 plus inferior ... #EKG #Electrocardiogram ... #clinical #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Capture: Narrow, different ... direction to QRS main ... 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 ... Short QT LV Aneurysm ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram