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

1) Upsloping
ECG Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram
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
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... - 2% of left anterior ... before or after STEMI ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #Electrocardiogram
Hypokalemia on EKG 

Patient presenting with severe weakness.  Patient had GI bug with vomiting/diarrhea.
Hypokalemia on EKG ... Patient had GI bug ... Had K+ 1.7 along ... #Hypokalemia #EKG ... #ECG #Electrocardiogram
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
EKG "Mild" Hyperkalemia ... narrow-based T Waves ... counting of HR by EKG ... • Pseudo-STEMI ... #EKG #ECG #electrocardiogram
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Left Anterior Fascicular ... Block on EKG ... axis deviation (LAD ... #LAFB #Left #Anterior ... #ECG #Electrocardiogram
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 ... #EKG #diagnosis ... #electrocardiogram
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 ... Serial EKGS in pts ... #ECG #Electrocardiogram
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
Hyperkalemia EKG ... Computer is calling STEMI ... classic “Pseudo-STEMI ... @EM_RESUS #Hyperkalemia ... #EKG #ECG #Electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... aVR • Posterior STEMI ... #EKG #diagnosis ... differential #cardiology #electrocardiogram