9 results
Posterior STEMI by "flipping" the EKG

- BCM IM Residency @BCM_InternalMed

#Posterior #STEMI #flipping #flipped #EKG #ECG #Electrocardiogram
Posterior STEMI ... "flipping" the EKG ... #flipped #EKG # ... ECG #Electrocardiogram ... #clinical #cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... protruding from LMCA ... #Angiogram #CathLab ... #clinical #cardiology
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
Hyperkalemia on EKG ... counting of HR by EKG ... waves • Pseudo-STEMI ... #ECG #electrocardiogram ... #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... or echo/angiogram ... #Ischemia #ECG ... #EKG #diagnosis ... Interpretation #differential
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... Ventriculogram #Angiogram ... #clinical #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
on ECG • Conventional ... elevation in aVR • Posterior ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
brain PRES Clinical ... bone marrow or stem ... Anterior circulation: MCA ... Reversible course Differential ... • EEG: With persistent
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
of pregnancy (e.g ... Genetic variants (e.g ... deficiencies (e.g ... , selenium) Differential ... Consider biomarkers (e.g