35 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Acute Coronary Syndrome ... , STEMI 1 STABLE ... rapidly over a short ... is reflected by ECG ... #Diagnosis #Cardiology
Acute Inferoposterior Myocardial Infarction #Clinical #Cardiology #MedStudent #EKG #Inferoposterior #STEMI #ECGEducator
Acute Inferoposterior ... Myocardial Infarction #Clinical ... #Cardiology #MedStudent ... #EKG #Inferoposterior ... #STEMI #ECGEducator
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... patient with 100% Acute ... STEMI Criteria misses ... Occlusion #Total #ECG ... #Clinical #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INCLUSION CRITERIA Acute ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ultrasound and fluoroscopy ... Initiative #Management #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... women • DDx: Acute ... deWinter T waves - starts ... electrocardiogram #cardiology
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 #cathlab ... #fluoroscopy
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
It starts as sinus ... probable inferior STEMI ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Wraparound LAD on Cardiac ... exactly why the ECG ... Wraparound #LAD #Cardiac ... Catheterization #CathLab #cardiology ... #clinical #fluoroscopy
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
injury: - Primary cardiac ... - Primary non-cardiac ... illness: Critical ... Classification #diagnosis #cardiology ... #troponemia #NSTEMI
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy