161 results
Patterns of Ischemia T-Waves on ECG

However, there are more kinds of ischemia than just STEMI and
T-Waves on ECG ... than just STEMI ... of even normal ECGs ... #Diagnosis #Cardiology ... #ECG #EKG #NSTEMI
Proximal LAD STEMI on EKG

Pt required pressors to get to PCI.

Eric Abrams, MD @eabramsMD

#Proximal #LAD #STEMI
Proximal LAD STEMI ... on EKG Pt required ... #Proximal #LAD ... #STEMI #EKG #ECG ... #clinical #cardiology
However, there are more kinds of ischemia than just STEMI and many of these can be
more kinds of ischemia ... than just STEMI ... of even normal ECGs ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
ECG of a 32-year-old ... lady with chest ... 100% proximal LAD ... #EKG #STEMI #Clinical ... #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... - Ischemia MI ... have no pain - LAD ... avR - proximal LAD ... electrocardiogram #cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... anterior descending (LAD ... DeWinter #TWaves #ECG ... #Diagnosis #Cardiology
Posterior STEMI by "flipping" the EKG

- BCM IM Residency @BCM_InternalMed

#Posterior #STEMI #flipping #flipped #EKG #ECG #Electrocardiogram
Posterior STEMI ... "flipping" the EKG ... BCM_InternalMed #Posterior #STEMI ... #ECG #Electrocardiogram ... #clinical #cardiology
ST segment elevation in acute myocardial ischemia

ST segment elevations with straight (horizontal, upsloping or downsloping) or
acute myocardial ischemia ... acute transmural ischemia ... to be caused by ischemia ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... #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
Inpatient Cath Lab ... Indications Cath Lab ... ASAP: STEMI NSTEMI ... low (1-2) risk, +ECG ... catheterization #cardiology