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

1) Upsloping
Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... #Diagnosis #Cardiology ... #Criteria
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
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
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
LAD STEMI on with Anterior Hypokinesis POCUS Echocardiogram

What's the diagnosis?? 63 year old with BP of
LAD STEMI on with ... Anterior Hypokinesis ... echo: proximal LAD ... @eabramsMD #LAD ... #STEMI #Anterior
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
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
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Left Anterior Fascicular ... axis deviation (LAD ... #LAFB #Left #Anterior ... Fascicular #Block #diagnosis ... #cardiology #EKG
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 ... #EKG #diagnosis
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... in precordial leads ... stenosis of proximal LAD ... becoming acute anterior ... #Diagnosis #Cardiology