21 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 #Anterior
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... #Diagnosis #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... = Biomarkers + ECG ... have no pain - LAD ... in avL - early inferior ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... depression • Sgarbossa ... • Sgarbossa criterion ... #Equivalents #ECG ... #differential #cardiology
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 #lbbb
Acute Anterior MI with AV Dissociation #Clinical #Cardiology #EKG #Anterior #STEMI #AVDissociation #Dissociation #ECGEducator
Acute Anterior MI ... Dissociation #Clinical #Cardiology ... #EKG #Anterior ... #STEMI #AVDissociation ... #Dissociation #ECGEducator
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 ... New/worsening MR ... low (1-2) risk, +ECG ... catheterization #cardiology
Inferior MI with Right Ventricular (RV) Wall Involvement #Clinical #Cardiology #EKG #Inferior #RV #RightVentricular #STEMI #ECGEducator
Inferior MI with ... Involvement #Clinical #Cardiology ... #EKG #Inferior ... RightVentricular #STEMI ... #ECGEducator
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... Positive ECG ... of conventional STEMI ... complex 10 in lead ... #Clinical #Cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... becoming acute anterior ... wall MI — 'widow ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology