21 results
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 ... Electrocardiogram #Anterior
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... descending (LAD ... DeWinter #TWaves #ECG ... #EKG #Electrocardiogram
Hyperkalemia EKG - K of 8.5

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

Computer
Hyperkalemia EKG ... 8.5 Here’s an #ECG ... Burn this ECG ... classic “Pseudo-STEMI ... #EKG #ECG #Electrocardiogram
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
LAD Coronary Artery ... hour, Ant/Sept STEMI ... on EKG. ... Cath LAD dissection ... #Coronary #Artery
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
stenosis of the left anterior ... descending (LAD ... ) coronary artery ... Types #Cardiology #EKG ... #ECG #Electrocardiogram
EKG - Anterolateral STEMI with Tombstones 

Here’s an impressive #ECG of a man with chest pain
EKG - Anterolateral ... an impressive #ECG ... 100% Proximal LAD ... Anterolateral #EKG ... #ECG #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... have no pain - LAD ... in avL - early inferior ... #Ischemia #ECG ... #EKG #diagnosis
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... The name STEMI ... segment is the only ECG ... #Differential #Algorithm ... infarction #diagnosis #coronary
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... artery (LMCA). left anterior ... aVR • Classic EKG ... #AVR #leadAVR #ecg ... electrocardiogram #diagnosis #ekg
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... place IMPELLA Coronary