21 results
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
It starts as sinus ... with probable inferior ... STEMI, but becomes ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
old male with Anterior ... wall STEMI, in ... Cardiogenic shock, ECG ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... deWinter T waves - starts ... wave inversion in avL ... - early inferior ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... segment at (or 40-60 ms ... after) the J point ... of the leads l, aVL ... #differential #cardiology
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Recognize this #ECG ... Hyperacute Inferior ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... What's the culprit artery ... The mother of all ... #EKG #clinical ... #cardiology #electrocardiogram
Medial Meniscus Bucket Handle Tear - MSK Radiology
Imaging Findings:
 • Truncation of the medial meniscus on
Handle Tear - MSK ... Radiology Imaging ... BucketHandle #Tear #knee ... #mri #clinical ... #Radiology #diagnosis
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
, neuropraxia (anterior ... artery injury ... Dislocation #Posterior #Radiology ... #Orthopedics #Sports ... #MSK
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ... depression in aVL ... suggestive of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior