12 results
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... Occlusion Remember ... normally has ST Depression ... STEMI Criteria misses ... - Sam Ghali, M.D
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... anterior descending (LAD ... ) occlusion ... 1 mm) 2) ST depressions ... Diagnosis #Cardiology #Criteria
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
lady with chest ... 100% proximal LAD ... Occlusion. ... - Sam Ghali, M.D ... #ECG #EKG #STEMI
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
STEMI on ECG ... a 100% occlusion ... how subtle an EKG ... can look in occlusion ... reciprocal st depressions
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... similar but this ST Depression ... 100% proximal occlusion ... - Sam Ghali, M.D ... @EM_RESUS #STEMI
EKG - Anterolateral STEMI with Tombstones 

Here’s an impressive #ECG of a man with chest pain
STEMI with Tombstones ... 100% Proximal LAD ... Occlusion. 1st ... Sam Ghali, M.D. ... @EM_RESUS #STEMI
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
combination of ST depression ... in 2% of acute LAD ... occlusion. ... be considered a STEMI ... #STWaves #Occlusion
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
CRITERIA Acute ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... DCSI #Initiative #Management
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... - Fusion: odd ... - Suspect STEMI ... > 1 mm in any lead ... Diagnosis #Checklist #EKG
SSRI Initiation
How long before increasing dose?
 • 4 wks. Initial response in 2-4 wks, max response
Depression: 50% ... 50% reduction in GAD ... before starting new med ... #psychiatry #treatment ... #management