67 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 ... #Proximal #LAD ... #STEMI #EKG #ECG ... #clinical #cardiology
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
ECG of a 32-year-old ... lady with chest ... 100% proximal LAD ... #EKG #STEMI #Clinical ... #Cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... ASAP: STEMI NSTEMI ... low (1-2) risk, +ECG ... #Indications #Cardiac ... catheterization #cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... anterior descending (LAD ... DeWinter #TWaves #ECG ... #Diagnosis #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... #Clinical #Cardiology
Taktosubo MIMIC on Echocardiogram A4C

ECG with anterolateral T wave inversions. Acute 99% LAD lesion + 70%
Echocardiogram A4C ... ECG with anterolateral ... Acute 99% LAD lesion ... #LAD #occlusion ... clinical #pocus #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... have no pain - LAD ... avR - proximal LAD ... electrocardiogram #cardiology
Cardiac Rupture with Pericardial Effusion

Apical 4 chamber. Note larger right sided pericardial effusion with significant compression
Cardiac Rupture ... Shortly after had ... pericardial #effusion #tamponade ... Echocardiogram #ultrasound #Cardiology ... #A4c #clinical
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
LAD Coronary Artery ... hour, Ant/Sept STEMI ... on EKG. ... Cath LAD dissection ... PSAX #Clinical #Cardiology
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
8.5 Here’s an #ECG ... with ROSC after cardiac ... Computer is calling STEMI ... classic “Pseudo-STEMI ... #Cardiology #Clinical