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
Sgarbossa's criteria - Positive EKG

#Clinical #Cardiology #EKG #ECG #Sgarbossas #Criteria #Positive
Sgarbossa's criteria ... - Positive EKG ... #Clinical #Cardiology ... #EKG #ECG #Sgarbossas ... #Criteria #Positive
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
Positive Example of Smith's Modified Sgarbossa 3rd Rule

#Clinical #ECG #EKG #Cardiology #Modified #Sgarbossa #Criteria #Positive
Positive Example ... Sgarbossa 3rd Rule #Clinical ... #ECG #EKG #Cardiology ... Modified #Sgarbossa #Criteria ... #Positive
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
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
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 ... place IMPELLA Coronary ... Initiative #Management #Cardiology
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa Positive ... conventional STEMI criteria ... original Sgarbossa criteria ... #Sgarbossa #Positive ... #Clinical #Cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Blood cultures are positive ... due to vascular occlusion ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
cases Culture Positive ... due to vascular occlusion ... → TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... Differential #Diagnosis #cardiology