11 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 ... #Anterior
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
with probable inferior ... STEMI, but becomes ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
considered to have ’relative ... STEMI Criteria misses ... Occlusion #Total #ECG ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Atrial Flutter • Inferior ... up, slow down; "negative ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
without typical inferior ... CTI-independent flutter • Negative ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Typical (Counterclockwise) Atrial Flutter on EKG
 • Inferior leads: Sawtooth waves (fast up, slow down; "negative")
• Inferior leads ... up, slow down; "negative ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Reverse Typical (Clockwise) Atrial Flutter on EKG
 • Inferior leads: "Positive" waves often notched (usually not
• Inferior leads ... • V1: Broad & negative ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... the patient’s native ... in that it is negative ... #Electrocardiogram ... #Clinical #Cardiology
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ... suggestive of STEMI ... suggestive of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior