23 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.
a 32-year-old lady ... 100% proximal LAD ... Occlusion #ECG #EKG #STEMI ... Clinical #ECG #EKG #Electrocardiogram ... #Cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... TWaves #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology
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 ... Total #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... all wraparound LAD ... #Wraparound #LAD ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Mitral Stenosis and Left Atrial Thrombus on Echocardiogram (a4c)

Mitral stenosis is a risk factor for LA
and Left Atrial Thrombus ... Echocardiogram (a4c ... risk factor for LA ... #a4c #Echocardiogram ... #clinical #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... have no pain - LAD ... avR - proximal LAD ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
ve in I, II - LAD ... RBBB (V1/V2 rsr', lat ... (V5/V6 rs, qs; lat ... 500 DANGER - Short ... #cardiology #interpretation
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
- D1 of LAD There ... supplied by D1 of LAD ... High Lateral #D1 #LAD ... Diagonal1 #ECG #EKG #Electrocardiogram ... #Cardiology #Clinical
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
long P • ↑ Ca - short ... HOCM- dagger Q lat ... inf leads, LVH, LAE ... Checklist #diagnosis #cardiology ... #electrocardiogram