16 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
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
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
ASAP: STEMI NSTEMI ... despite intensive medical ... low (1-2) risk, +ECG ... stable, TIMI low ... catheterization #cardiology
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
Hyperkalemia EKG ... Computer is calling STEMI ... classic “Pseudo-STEMI ... #EKG #ECG #Electrocardiogram ... #Cardiology #Clinical
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
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
EKG "Mild" Hyperkalemia ... waves • Pseudo-STEMI ... #EKG #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Hypokalemia on EKG 

Patient presenting with severe weakness.  Patient had GI bug with vomiting/diarrhea.
Hypokalemia on EKG ... Had K+ 1.7 along ... RJonesSonoEM #UWaves #Hypokalemia ... #EKG #ECG #Electrocardiogram ... #cardiology #clinical
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... Serial EKGS in pts ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... all wraparound LAD ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram ... #ecg
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... @EM_RESUS #STEMI ... #Diagonal1 #ECG ... #EKG #Electrocardiogram ... #Cardiology #Clinical