7 results
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
vs STEMI - Differential ... segment is the only ECG ... #STEMI #Differential ... #Algorithm #cardiology ... infarction #diagnosis #coronary
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... predicted Left main occlusion ... Thrombus #LMCA #Angiogram ... #CathLab #clinical
EKG - Anterolateral STEMI with Tombstones 

Here’s an impressive #ECG of a man with chest pain
STEMI with Tombstones ... troponin to rule out Coronary ... Occlusion! ... #ECG #clinical ... #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM INCLUSION ... Ischemic Symptoms  EKG ... biomarker evidence of AMI ... (STEMI or NSTEMI ... place IMPELLA Coronary
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
ECGs - Ischemia MI ... or echo/angiogram ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... by D1 of LAD & OM1 ... 100% proximal occlusion ... #EKG #Electrocardiogram ... #Cardiology #Clinical
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
Cesarean delivery Clinical ... Key Point: High clinical ... , selenium) Differential ... • Spontaneous coronary ... congestion on a CXR