21 results
Posterior STEMI by "flipping" the EKG

- BCM IM Residency @BCM_InternalMed

#Posterior #STEMI #flipping #flipped #EKG #ECG #Electrocardiogram
Posterior STEMI ... "flipping" the EKG ... #STEMI #flipping ... #flipped #EKG # ... #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
Cath Lab ASAP: STEMI ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... #Indications #Cardiac ... catheterization #cardiology
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
widening • Sinus bradycardia ... waves • Pseudo-STEMI ... #Hyperkalemia #EKG ... #cardiology #diagnosis ... #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... depression in VI-V2 - posterior ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Cardiac Stress Testing
Exercise:
 • Everyone who can exercise should!
 • They must be able to raise
Cardiac Stress Testing ... • They must be able ... Contraindications: - Bradycardia ... arrythmias Diagnostics: EKG ... Stress #Testing #cardiology
STEMI with Tombstones and Shark Fins

Here’s a deadly ECG with Tombstones AND Shark Fins. When you
STEMI with Tombstones ... *will* go into Cardiac ... @EM_RESUS #STEMI ... #ekg #electrocardiogram ... #cardiology #clinical
Myocarditis - Diagnosis and Causes
 • Clinical presentation: Pseudo-acute coronary syndrome, Cardiac failure <3 rnonths, Cardiogenic
and Causes • Clinical ... coronary syndrome, Cardiac ... Paraclinical assessment: EKG ... Troponin Increases, Cardiac ... Diagnosis #Causes #cardiology
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Recognize this #ECG ... STD in V2 (posterior ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... elevation in aVR • Posterior ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Hyperkalemia EKG - K of 8.5

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

Computer
with ROSC after cardiac ... Computer is calling STEMI ... classic “Pseudo-STEMI ... #Hyperkalemia #EKG ... #Cardiology #Clinical