30 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
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... have no pain - LAD ... avR - proximal LAD ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI
Myocysticercosis on Leg X-Ray

Cysticercus larva in the muscles appear like rice grain calcifications.

Consumption of contaminated food
Myocysticercosis on Leg X-Ray ... food with eggs lead ... Myocysticercosis #Leg #XRay ... #clinical #radiology ... #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
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... all wraparound LAD ... #Wraparound #LAD ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
ve in I, II - LAD ... LBBB, LAFB - RAD ... Short QT <300-360 ms ... EKG #diagnosis #electrocardiogram ... #cardiology #interpretation