31 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
Hamate Fracture on Wrist X-Ray

- point tenderness over the hamate should raise suspicion for a fracture,
Hamate Fracture ... suspicion for a fracture ... plain films are negative ... #WristXRay #Radiology ... #MSK #Orthopedics
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
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
Scaphoid Fractures ... most commonly fractured ... immobilized • Both lead ... Wrist #Carpal #Radiology ... Orthopedics #Sports #MSK
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
RADIAL HEAD FRACTURE 
Radial head fractures are the most common elbow fracture in adults and are
RADIAL HEAD FRACTURE ... Radial head fractures ... posterior fat pad ... #Elbow #Radiology ... #Orthopedics #MSK
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
: odd QRS from native ... Criteria - Suspect STEMI ... > 1 mm in any lead ... Checklist #EKG #electrocardiogram ... #ecg #cardiology
Dextrocardia on EKG
 • Limb leads look like LA ←→ RA transposition
 • V1 ←→ V2
leads look like LA ... predominantly negative ... Dextrocardia #EKG #ECG #electrocardiogram ... #cardiology #diagnosis