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

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... DeWinter #TWaves #ECG ... #EKG #Electrocardiogram ... #Criteria
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... STEMI Criteria misses ... Occlusion #Total #ECG ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Positive ECG ... of conventional STEMI ... #ECG #Modified ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Capture: Narrow, different ... STEMI if any of ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg ... #cardiology #lbbb
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... • Sgarbossa criterion ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
with probable inferior ... STEMI, but becomes ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
supplying part of the inferior ... exactly why the ECG ... anterolateral AND inferior ... Catheterization #CathLab ... #cardiology #clinical
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
on ECG Mid ... Triage EKG (no prior ... #Embolism #ECG ... #EKG #Electrocardiogram ... #clinical #cardiology
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ... in aVL and in lead ... suggestive of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior