27 results
Proximal LAD STEMI on EKG

Pt required pressors to get to PCI.

Eric Abrams, MD @eabramsMD

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

Cath showed 100% proximal LAD Occlusion.
lady with chest ... 100% proximal LAD ... #EKG #STEMI #Clinical ... #ECG #EKG #Electrocardiogram ... #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... Ectopic atrial rhythm ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram ... #ecg
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... for diagnosing MI ... Criteria - Suspect STEMI ... #electrocardiogram ... #ecg #cardiology
Multifocal Atrial Tachycardia (MAT) on EKG
 • Heart rate > 100 bpm (usually 100-150 bpm)
 •
Multifocal Atrial ... morphologies in the same lead ... Tachycardia #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram ... #labeled #clinical
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... complex 10 in lead ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... anterior wall MI ... Serial EKGS in pts ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... have no pain - LAD ... avR - proximal LAD ... #electrocardiogram ... #cardiology #STEMI
Atrial Flutter on EKG
 • Regularly-occurring atrial activity
 • ≥ 240 atrial depolarizations (i.e. flutter waves)
EKG • Regularly-occurring ... in at least one lead ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical