19 results
Proximal LAD STEMI on EKG

Pt required pressors to get to PCI.

Eric Abrams, MD @eabramsMD

#Proximal #LAD #STEMI
Proximal LAD STEMI ... on EKG Pt required ... pressors to get to PCI ... #EKG #ECG #clinical ... #cardiology #Electrocardiogram
Premature atrial complex (PAC) - ECG Recognition
 • Prematurity and altered P wave morphology.
 • P
) - ECG Recognition ... atrial #complexes #cardiology ... #diagnosis #ekg ... #ecg #electrocardiogram ... #clinical
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
probable inferior STEMI ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
Hyperkalemia on EKG ... waves • Pseudo-STEMI ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... segment is the only ECG ... #Differential #Algorithm ... #cardiology #occlusionMI ... myocardial #infarction #diagnosis
Diagnostic approach to the admitted patient with possible COVID-19

Initial evaluation
- Chest X-ray
- Lung ultrasound (thorough "lawn-mower"
Nasopharyngeal PCR ... as clinically indicated ... (e.g. echocardiogram ... , EKG) Dr. ... iBookCC #COVID19 #algorithm
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
lateral leads, also diagnostic ... of STEMI. ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Angiography & PCI ... Cardiogenic #Shock #Algorithm
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... Ventriculogram #Angiogram #clinical ... #cardiology #cathlab
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... taken for Primary PCI ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy