10 results
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion
suggestive of coronary occlusion ... #Diagnosis #Cardiology ... #Coronary #Occlusion ... DeWinter #Sgarbossa #STEMI ... #Equivalents #RedFlags
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... @jonnywatt #Occlusion ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #cardiology #electrocardiogram
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... Equivalent - Left ... descending (LAD) occlusion ... #Diagnosis #Cardiology
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
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
despite intensive medical ... New/worsening MR ... low (1-2) risk, +ECG ... changes or troponin Medical ... catheterization #cardiology
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
pain Computer interpretation ... Recognize this #ECG ... pattern of Acute RCA Occlusion ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... on ECG • Conventional ... segment at (or 40-60 ms ... #Equivalents #ECG ... #differential #cardiology
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
2% of acute LAD occlusion ... be considered a STEMI ... equivalent. - Dr ... MusaSharkawi #Clinical #Cardiology ... #STWaves #Occlusion
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... Short QT <300-360 ms ... #Approach #ECG ... electrocardiogram #cardiology ... #interpretation
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
specific questions to ask ... Highest metabolic equivalent ... Medical history ... one post op Cardiology ... perioperative medical