14 results
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... segment is the only ECG ... #cardiology #occlusionMI ... infarction #diagnosis #coronary ... #syndrome
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
LAD Coronary Artery ... hour, Ant/Sept STEMI ... on EKG. ... Echocardiogram #PSAX #Clinical ... #Cardiology
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
specific for a critical ... anterior descending (LAD ... ) coronary artery ... Classification #Types #Cardiology ... #EKG #ECG #Electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Miss Signs of Ischemia ... #Ischemia #ECG ... #EKG #diagnosis ... #STEMI #Equivalents
EKG - Anterolateral STEMI with Tombstones 

Here’s an impressive #ECG of a man with chest pain
EKG - Anterolateral ... an impressive #ECG ... Anterolateral #EKG ... #ECG #clinical ... #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... on ECG • Conventional ... point • De Winter syndrome ... #Equivalents #ECG ... #EKG #diagnosis
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... Primary PCI, first injection ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
the De Winter ECG ... be considered a STEMI ... equivalent. - Dr ... #Cardiology #EKG ... #ECG #DeWinters
Approach to Headaches - Differential Diagnosis Algorithm

Red flags (PHANTOMS):
 • Pattern change, progressively worse, papilledema
 •
papilledema • Horner syndrome ... (e.g., fever, myalgia ... lesion • CNS infection ... (e.g., meningitis ... Matthew Ho, MD PhD
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... STE: "Pardee's sign ... " + PPD • Opposing ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram