11 results
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... segment is the only ECG ... #Differential #Algorithm ... #cardiology #occlusionMI ... infarction #diagnosis #coronary
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... STEMI Criteria misses ... Occlusion #Total #ECG ... #EKG #Electrocardiogram ... #Clinical #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Initiative #Management #Cardiology
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
LAD Coronary Artery ... hour, Ant/Sept STEMI ... on EKG. ... Echocardiogram #PSAX #Clinical ... #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V6 • Sgarbossa criterion ... • Sgarbossa criterion ... #Equivalents #ECG ... #differential #cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Left Main Coronary ... Anterior wall STEMI ... Cardiogenic shock, ECG ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
EKG - Anterolateral STEMI with Tombstones 

Here’s an impressive #ECG of a man with chest pain
STEMI with Tombstones ... troponin to rule out Coronary ... @EM_RESUS #STEMI ... #ECG #clinical ... #cardiology
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... criteria in the ... original Sgarbossa criteria ... Electrocardiogram #Clinical ... #Cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
just simply a clinical ... ECG is vital while ... cath if acute coronary ... #differential #algorithm ... #management #cardiology
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC algorithm ... Obtain EKG if: ... Change in clinical ... one post op Cardiology ... • Preoperative coronary