16 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
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... ) Upsloping ST elevation ... #Diagnosis #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Inferior Regional Wall Motion Abnormalities on POCUS Echocardiogram

Older male with chest pain, diaphoresis. ECG with concerning
ECG with concerning ... Had RCA occlusion ... #Regional #WMA ... Echocardiogram #clinical ... #cardiology #PSAX
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Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... rhythm with ST elevations ... all wraparound LAD ... #Wraparound #LAD ... #STEMI #EKG #clinical
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... stenosis of proximal LAD ... becoming acute anterior ... #Diagnosis #Cardiology
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
EKG unremarkable ... Confirmed to have LAD ... Echocardiogram #clinical ... #cardiology #PSAX ... #LAD
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Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... have no pain - LAD ... avR - proximal LAD ... #EKG #diagnosis ... electrocardiogram #cardiology
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
ST elevation with ... in aVL and in lead ... in V1) with ST elevation ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
precordial leads and ST elevation ... open proximal LAD ... wraparound distal LAD ... #Clinical #EM #Cardiology ... #EKG #DeWinter