11 results
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 ... Thrombus #LMCA #Angiogram ... #CathLab #clinical
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
’s a beautiful angiogram ... exactly why the ECG ... anterolateral AND inferior ... Catheterization #CathLab ... #cardiology #clinical
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
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
, severe chest pain ... diagnosis was STEMI ... Ventriculogram #Angiogram ... #clinical #cardiology ... #cathlab #fluoroscopy
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
or echo/angiogram ... -4 can have no pain ... - LAD stenosis ... in avL - early inferior ... electrocardiogram #cardiology
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
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
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 # ... #CardiacCath #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