13 results
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
lady with chest ... 100% proximal LAD ... Occlusion. ... #ECG #EKG #STEMI ... #Cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

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

Remember that RBBB normally has ST
with 100% Acute LAD ... Occlusion Remember ... STEMI Criteria misses ... @EM_RESUS #LAD ... #Clinical #Cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential ... segment is the only ECG ... predictive of occlusion ... #Differential # ... Algorithm #cardiology
EKG - Anterolateral STEMI with Tombstones 

Here’s an impressive #ECG of a man with chest pain
STEMI with Tombstones ... 100% Proximal LAD ... Occlusion. 1st ... Anterolateral #EKG ... #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... 100% proximal occlusion ... @EM_RESUS #STEMI ... #EKG #Electrocardiogram ... #Cardiology #Clinical
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
in 2% of acute LAD ... occlusion. ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #STWaves #Occlusion
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
ï‚· Ischemic Symptoms
ï‚· EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM INCLUSION ... Ischemic Symptoms ï‚· EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... Initiative #Management #Cardiology
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
in aVL and in lead ... suggestive of STEMI ... suggestive of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior