36 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... 0.5mm downgoing ST ... have no pain - LAD ... avR - proximal LAD
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... 1) Upsloping ST ... (>= 1 mm) 2) ST
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 ... an isolectric ST ... STEMI Criteria misses ... @EM_RESUS #LAD
Reperfusion Management of Myocardial Infarction with ST-segment Elevation (STEMI)

#STEMI #PCI #Fibrinolysis #Transfer #Reperfusion #Algorithm #Timeline #Cardiology
Infarction with ST-segment ... Elevation (STEMI ... ) #STEMI #PCI ... #Reperfusion #Algorithm
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 ... Indications Cath Lab ... ASAP: STEMI NSTEMI ... -7) risk Cath lab ... /UA: stable, TIMI
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI vs STEMI ... - Differential Algorithm ... The name STEMI ... believe that the ST ... #Differential #Algorithm
Recommendations for initial management of Unstable Angina/NSTEMI

Flowchart for class I and class lla recommendations for initial
Unstable Angina/NSTEMI ... angina/non— ST-segment ... infarction (UA/NS TEMI ... UnstableAngina #Management #Algorithm
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Diagnosis Framework STEMI ... Opposing leads ST ... ventricle pacing lead ... #STEMI #Segment
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... ST elevations in ... with reciprocal st ... frequently missed stemi ... Mid #Circumflex #STEMI
Lab patterns seen in Inborn Errors of Metabolism

A table of lab values compiled from UpToDate and
Lab patterns seen ... Metabolism A table ... of lab values compiled ... metabolicemergency-pathophysiology-differential-pediatrics-metabolism-algorithm-diagnosis ... Peds #Pediatrics #Table