11 results
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Left Main Coronary ... Artery Occlusion ... #Occlusion #Artery ... Electrocardiogram #Cardiology ... #Criteria
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
100% Acute LAD Occlusion ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... Electrocardiogram #Clinical ... #Cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Left Main Coronary ... Cardiogenic shock, ECG ... predicted Left main occlusion ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM INCLUSION ... CRITERIA Acute ... Ischemic Symptoms  EKG ... DCSI #Initiative #Management ... #Cardiology
EKG - Anterolateral STEMI with Tombstones 

Here’s an impressive #ECG of a man with chest pain
EKG - Anterolateral ... troponin to rule out Coronary ... Occlusion! ... #ECG #clinical ... #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
due to vascular occlusion ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
It is important to recognize Acute Decompensated Heart Failure (ADHF) as more than just simply a
just simply a clinical ... ECG is vital while ... cath if acute coronary ... differential #algorithm #management ... #cardiology #treatment
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
EKG unremarkable ... This was her EKG ... Confirmed to have LAD occlusion ... Echocardiogram #clinical ... #cardiology #PSAX
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Obtain EKG if: ... Change in clinical ... one post op Cardiology ... • Preoperative coronary ... medical and surgical management
Neuroprotection following Cardiac Arrest - Guidelines for Crises in Anaesthesia
Outcome from cardiac arrest is determined by
Obtain 12-lead ECG ... and discuss with cardiology ... if percutaneous coronary ... ❾ Plan further management ... in critical care