39 results
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 Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... in precordial leads ... #Diagnosis #Cardiology
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
lady with chest ... 100% proximal LAD ... #EKG #STEMI #Clinical ... #ECG #EKG #Electrocardiogram ... #Cardiology
LAD STEMI on with Anterior Hypokinesis POCUS Echocardiogram

What's the diagnosis?? 63 year old with BP of
LAD STEMI on with ... echo: proximal LAD ... @eabramsMD #LAD ... #STEMI #Anterior ... #cardiology
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 ... electrocardiogram #cardiology
Proximal LAD STEMI with Anterior Wall Akinesis on POCUS

If you have trouble appreciating regional wall motion
Proximal LAD STEMI ... with a proximal LAD ... Echocardiogram #PSAX #Cardiology ... #Hypokinesis #LAD ... #STEMI #Clinical
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... no contiguous lead ... #EKG #diagram #Electrocardiogram ... #STEMI #Localization ... EmergencyMedicine #Cardiology
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Left Anterior Fascicular ... axis deviation (LAD ... tall R waves in leads ... Block #diagnosis #cardiology ... #labeled #clinical
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 ... STEMI Criteria misses ... @EM_RESUS #LAD ... #Clinical #Cardiology
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