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

Remember that RBBB normally has ST
Here’s an ECG of ... a patient with ... 100% Acute LAD Occlusion ... STEMI Criteria misses ... #Total #ECG #EKG
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... low (1-2) risk, +ECG ... #CathLab #Indications ... #Cardiac #catheterization ... #cardiology
EKG with Cerebral T Waves in Subarachnoid Hemorrhage

ECG of a 45-year-old man who suddenly collapsed to
EKG with Cerebral ... Subarachnoid Hemorrhage ECG ... the ground in cardiac ... Cerebral #TWaves #ECG ... #EKG #Electrocardiogram
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... predicted Left main occlusion ... Patient was in shock ... LMCA #Angiogram #CathLab
Inferior Regional Wall Motion Abnormalities on POCUS Echocardiogram

Older male with chest pain, diaphoresis. ECG with concerning
Abnormalities on POCUS Echocardiogram ... ECG with concerning ... Patient with RWMA ... Had RCA occlusion ... #clinical #cardiology
Evaluation of mechanical valves of Total Artificial Heart with no contrast
This is a cardiac CT with
contrast This is a cardiac ... CT with no contrast ... Since the patient ... has no heart, we ECG-gated ... with an ECG simulator
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM INCLUSION ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... Fick calculated cardiac ... IF LVEDP >15 or Cardiac
Syncope Cost-Effectiveness Workup
Cost-effective tests for most patients: 
 • Orthostatic BP
 • ECG
 • Telemetry (if
Orthostatic BP • ECG ... Telemetry (if inpatient ... • Ambulatory ECG ... • Head CT • Carotid ... • Brain MRI • EEG
Anterolateral Wall Motion Abnormalities (WMA) on POCUS Echocardiogram (PSAX)
Consider early TTE for patients presenting with cardiopulmonary
(WMA) on POCUS Echocardiogram ... , such as this patient ... breath and ischemic EKG ... changes (but no STEMI ... PSAX #clinical #cardiology
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
EKG unremarkable ... management for this patient ... This was her EKG ... Confirmed to have LAD occlusion ... #clinical #cardiology