14 results
Proximal LAD STEMI on EKG

Pt required pressors to get to PCI.

Eric Abrams, MD @eabramsMD

#Proximal #LAD #STEMI
Proximal LAD STEMI ... #Proximal #LAD ... #STEMI #EKG #ECG ... #clinical #cardiology ... Electrocardiogram #Anterior
Posterior ECG leads (V7-V9) are applied by moving V4-V6 to under the left scapula.Purpose: To detect
Posterior ECG leads ... associated with inferior ... lateral wall AMI #EM ... #EKG #Lead #Placement ... #ALiEM
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... & aVL view the inferior ... heart (inferior ... V4 sit over the anterior ... and are called anterior
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... in precordial leads ... #Diagnosis #Cardiology
Right sided ECG leads (V1R-V6R) are positioned in a mirror image fashion to the standard 12-lead
the standard 12-lead ... (RV) infarcts #EM ... #Cardiology #RightSided ... #EKG #Lead #Placement ... #ALiEM
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
ST elevation in inferior ... open proximal LAD ... wraparound distal LAD ... addition to the anterior ... #Clinical #EM #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... in avL - early inferior ... infarct, get a 15 lead ... electrocardiogram #cardiology
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Wraparound LAD on ... Follow the LAD down ... supplying part of the inferior ... anterolateral AND inferior ... #CathLab #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
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
elevation in lateral leads ... diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior