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

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... anterior descending (LAD ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion MI ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology ... #electrocardiogram ... #ecg #ekg
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
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
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
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... stenosis of proximal LAD ... anterior wall MI ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... all wraparound LAD ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram ... #ecg
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... look in occlusion MI ... frequently missed stemi ... Mid #Circumflex #STEMI ... #ECG #EKG #Electrocardiogram