43 results
Proximal LAD STEMI on EKG

Pt required pressors to get to PCI.

Eric Abrams, MD @eabramsMD

#Proximal #LAD #STEMI
Proximal LAD STEMI ... on EKG Pt required ... #Proximal #LAD ... #STEMI #EKG #ECG ... #clinical #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 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. ... Artery #Dissection #POCUS ... PSAX #Clinical #Cardiology
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De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... anterior descending (LAD ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
LAD STEMI on with Anterior Hypokinesis POCUS Echocardiogram

What's the diagnosis?? 63 year old with BP of
LAD STEMI on with ... Anterior Hypokinesis POCUS ... STEMI. ... #Hypokinesis #POCUS ... Echocardiogram #clinical #cardiology
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Proximal LAD STEMI with Anterior Wall Akinesis on POCUS

If you have trouble appreciating regional wall motion
Proximal LAD STEMI ... Wall Akinesis on POCUS ... STEMI. ... Echocardiogram #PSAX #Cardiology ... #POCUS
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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 ... Serial EKGS in pts ... are crucial. ... #Diagnosis #Cardiology
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
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... Indications Cath Lab ... ASAP: STEMI NSTEMI ... low (1-2) risk, +ECG ... catheterization #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... have no pain - LAD ... avR - proximal LAD ... #EKG #diagnosis ... electrocardiogram #cardiology