27 results
Proximal LAD STEMI on EKG

Pt required pressors to get to PCI.

Eric Abrams, MD @eabramsMD

#Proximal #LAD #STEMI
Proximal LAD STEMI ... on EKG Pt required ... #Proximal #LAD ... #STEMI #EKG #ECG ... Electrocardiogram #Anterior
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... have no pain - LAD ... avR - proximal LAD ... in avL - early inferior ... #EKG #diagnosis
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... 1) Upsloping ST ... #EKG #Electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... #EKG #Electrocardiogram
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
Hyperacute Inferior ... Reciprocal STD in ... STD in V2 (posterior ... Clinical #Cardiology #EKG ... #STEMI #InferoPosterior
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
with probable inferior ... STEMI, but becomes ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ... in aVL and in lead ... suggestive of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
Winter T-Waves on EKG ... - Anterior OMI ... - 2% of left anterior ... before or after STEMI ... DeWinter #TWaves #EKG
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Suspect STEMI ... > 1 mm in any lead ... wave > 25% in any lead ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
is additional ST ... diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior