49 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
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
a 32-year-old lady ... 100% proximal LAD ... Occlusion #ECG #EKG #STEMI ... Clinical #ECG #EKG #Electrocardiogram ... #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... considered to have ’relative ... STEMI Criteria misses ... Total #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... TWaves #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG
Typical (Counterclockwise) Atrial Flutter
 • Inferior leads:
Typical (Clockwise) Atrial ... up, slow down; "negative ... • V1: Broad & negative ... aflutter #ecg #ekg #electrocardiogram ... #cardiology #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... infarct, get a 15 lead ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... Ectopic atrial rhythm ... all wraparound LAD ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Multifocal Atrial Tachycardia (MAT) on EKG
 • Heart rate > 100 bpm (usually 100-150 bpm)
 •
Multifocal Atrial ... morphologies in the same lead ... MAT #Multifocal #Atrial ... Tachycardia #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram
Major electrocardiogram findings induced by left ventricular hypertrophy (LVH)
An increase in left ventricular mass augments the
Major electrocardiogram ... hypertrophied muscle and relative ... delay or actual atrial ... EKG #Diagnosis #Cardiology ... #Electrocardiogram
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... stenosis of proximal LAD ... Serial EKGS in pts ... Sign #EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology