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

1) Upsloping
Pattern STEMI ... ) occlusion ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Occlusion Remember ... STEMI Criteria misses ... #Occlusion #Total ... #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
100% proximal LAD ... #ECG #EKG #STEMI ... #Clinical #ECG ... #EKG #Electrocardiogram ... #Cardiology
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... 100% proximal occlusion ... @EM_RESUS #STEMI ... #ECG #EKG #Electrocardiogram ... #Cardiology #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 ... High rate in <1 ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... or high burden ... unless LBBB/LVH/high ... #electrocardiogram ... #cardiology #STEMI
Constrictive Pericarditis on Echocardiogram
A 55-year-old female marathon runner presents to clinic w/ 6-months of worsening breathlessness
kg and swollen ... ASA, Kussmaul's sign ... meeting diagnostic criteria ... Echocardiogram #a4c ... #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... " + PPD • Opposing ... • Short QT, high ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Hemophagocytic Lymphohistiocytosis (HLH)

High mortality without prompt recognition and management. HLH is a critical diagnostic consideration in
Lymphohistiocytosis (HLH) High ... Clinical Presentation ... • Common Signs ... - Persistent high ... Hematopoietic stem
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
• Key Point: High ... clinical suspicion ... tachycardia on the electrocardiogram ... congestion on a CXR ... Cardiomyopathy #Cardiology