501 results
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Sister had MI in ... Activate cath lab ... Pulmonary embolism ... RJonesSonoEM #Pulmonary
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... RBBB normally has ST ... So ANY ST Elevation ... an isolectric ST ... @EM_RESUS #LAD
What are the original Sgarbossa Criteria?
- Concordant ST-segment elevation ≥ 1 mm in any lead =
- Concordant ST-segment ... ≥ 1 mm in any lead ... points - Concordant ST-segment ... points - Discordant ST-segment ... ≥ 5 mm in any lead
ECG changes in Pulmonary Embolism
 - 
Sinus tachycardia 
 - 
Complete or incomplete RBBB 
 -
ECG changes in Pulmonary ... enlargement (P pulmonale ... Non-specific ST ... changes, including ST ... - #Pulmonary
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
anterior descending (LAD ... 1) Upsloping ST ... (>= 1 mm) 2) ST
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... myocardial infarction: ST ... anterior descending (LAD ... • Multilead ST ... (AVRT) in WPW: ST
Sgarbossa Criteria A - Concordant ST segment elevation of >1m, in any lead | Sgarbossa Criteria
A - Concordant ST ... of >1m, in any lead ... B - Concordant ST ... Disconcordant ST ... of >5mm, in any lead
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
0.5mm downgoing ST ... line; upsloping ST ... have no pain - LAD ... avR - proximal LAD ... - R/S >1 or ST
Stimulated
SA node
AV node -
Un-stimulated
#PQ
(mV) 0
ECG (lead II)
QRS
#QRS
#SA node
#AV node
#Bundle of His
Bundle branches
#Purkinje fibers
#QRS
#ST
(mV) 0 ECG (lead ... fibers #QRS #ST
LAD STEMI on with Anterior Hypokinesis POCUS Echocardiogram

What's the diagnosis?? 63 year old with BP of
LAD STEMI on with ... Anterior Hypokinesis POCUS ... echo: proximal LAD ... @eabramsMD #LAD ... #Hypokinesis #POCUS