36 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 ... #Proximal #LAD ... #STEMI #EKG #ECG ... #clinical #cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... descending (LAD ... DeWinter #TWaves #ECG ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
Lead aVR on EKG ... Lead aVR can provide ... #Cardiology #EKG ... #ECG #Lead #AVR ... #Utility #ALiEM
Right sided ECG leads (V1R-V6R) are positioned in a mirror image fashion to the standard 12-lead
Right sided ECG ... the standard 12-lead ... (RV) infarcts #EM ... #EKG #Lead #Placement ... #ALiEM
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Block on EKG ... axis deviation (LAD ... Fascicular #Block #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram
Posterior ECG leads (V7-V9) are applied by moving V4-V6 to under the left scapula.Purpose: To detect
Posterior ECG leads ... lateral wall AMI #EM ... #Cardiology #Posterior ... #EKG #Lead #Placement ... #ALiEM
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... have no pain - LAD ... infarct, get a 15 lead ... #Ischemia #ECG ... #EKG #diagnosis
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... stenosis of proximal LAD ... Wellens #Sign #EKG ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Checklist for diagnosing ... > 1 mm in any lead ... wave > 25% in any lead ... #Checklist #EKG ... electrocardiogram #ecg
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... no contiguous lead ... #EKG #diagram #Electrocardiogram ... #STEMI #Localization ... EmergencyMedicine #Cardiology