35 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 ... Pattern STEMI ... descending (LAD ... DeWinter #TWaves #ECG ... #EKG #Electrocardiogram
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
ECG of a 32-year-old ... 100% proximal LAD ... #EKG #STEMI #Clinical ... #ECG #EKG #Electrocardiogram ... #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 ... #Diagnosis #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
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
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Block on EKG ... axis deviation (LAD ... Block #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram ... #labeled #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... have no pain - LAD ... avR - proximal LAD ... #Ischemia #ECG ... #EKG #diagnosis
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... with 100% Acute LAD ... @EM_RESUS #LAD ... #EKG #Electrocardiogram ... #Clinical #Cardiology
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 ... becoming acute anterior ... Wellens #Sign #EKG ... #ECG #Electrocardiogram