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

1) Upsloping
ECG Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... #TWaves #ECG #EKG ... #Criteria
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... come before or after ... STEMI - look for ... #TWaves #EKG #ECG ... Electrocardiogram #diagnosis #cardiology
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
= Biomarkers + ECG ... or echo/angiogram ... bigger than QRS - deWinter ... #Ischemia #ECG ... #EKG #diagnosis
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
old male with Anterior ... wall STEMI, in ... Cardiogenic shock, ECG ... Thrombus #LMCA #Angiogram ... #CathLab #clinical
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... Ventriculogram #Angiogram ... #clinical #cardiology ... #cathlab #fluoroscopy
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... at (or 40-60 ms after ... #Equivalents #ECG ... #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 ... aVR • Classic EKG ... #AVR #leadAVR #ecg ... electrocardiogram #diagnosis #ekg
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Capture: Narrow, different ... - Suspect STEMI ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg ... #cardiology #lbbb
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... flow progression, LA ... artery systolic ... #Diagnosis #Cardiology ... Classification #Grades #Criteria