10 results
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion
occlusion #Diagnosis ... #Cardiology #EKG ... #Coronary #Occlusion ... DeWinter #Sgarbossa #STEMI ... #Equivalents #RedFlags
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential ... segment is the only ECG ... #Differential # ... Algorithm #cardiology ... infarction #diagnosis #coronary
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... Equivalents / Don't ... electrocardiogram #cardiology ... #STEMI #Equivalents ... Interpretation #differential
EKG - Anterolateral STEMI with Tombstones 

Here’s an impressive #ECG of a man with chest pain
STEMI with Tombstones ... an impressive #ECG ... troponin to rule out Coronary ... #ECG #clinical ... #cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... predicted Left main occlusion ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM INCLUSION ... Infarction  Ischemic ... Symptoms  EKG ... evidence of AMI (STEMI ... place IMPELLA Coronary
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... on ECG • Conventional ... deviation) • Acute ischemia ... #Equivalents #ECG ... #differential #
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... pattern of Acute RCA Occlusion ... InferoPosterior transmural ischemia ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
be considered a STEMI ... equivalent. - Dr ... MusaSharkawi #Clinical ... #Cardiology #EKG ... #STWaves #Occlusion
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Highest metabolic equivalent ... history of: a) Ischemic ... Change in clinical ... one post op Cardiology ... • Preoperative coronary