22 results
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
Dissection on POCUS ... hour, Ant/Sept STEMI ... on EKG. ... Cath LAD dissection ... PSAX #Clinical #Cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... anterior descending (LAD ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
Lead aVR on EKG ... insight into 5 different ... using the Vereckei criteria ... #Diagnosis #Cardiology ... #EKG #ECG #Lead
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Capture: Narrow, different ... waves in opposite direction ... - Suspect STEMI ... Diagnosis #Checklist #EKG ... #cardiology #lbbb
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
, Aortic dissection ... have no pain - LAD ... avR - proximal LAD ... #EKG #diagnosis ... electrocardiogram #cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Triage EKG (no prior ... Sister had MI in ... Activate cath lab ... A4c #clinical #cardiology
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
positive to negative direction ... single lead • ... Originates from single focus ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... Initiative #Management #Cardiology
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Type A Aortic Dissection ... on POCUS Echocardiogram ... STEMI on EKG ... #POCUS #Echocardiogram ... #cardiology #clinical