16 results
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
lady with chest ... - Sam Ghali, ... #ECG #EKG #STEMI ... #Clinical #ECG ... #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... Occlusion Remember ... STEMI Criteria misses ... - Sam Ghali, M.D ... #Clinical #Cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... @jonnywatt #Occlusion ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #cardiology #electrocardiogram
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... anterior descending (LAD ... ) occlusion ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
EKG - Anterolateral STEMI with Tombstones 

Here’s an impressive #ECG of a man with chest pain
EKG - Anterolateral ... 100% Proximal LAD ... Sam Ghali, M.D. ... #ECG #clinical ... #cardiology
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... 100% proximal occlusion ... - Sam Ghali, ... @EM_RESUS #STEMI ... #Cardiology #Clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
ECGs - Ischemia MI ... have no pain - LAD ... avR - proximal LAD ... #EKG #diagnosis ... electrocardiogram #cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... anterior wall MI ... Serial EKGS in pts ... #Diagnosis #Cardiology
Hyperkalemia EKG - K of 8.5

Here’s an #ECG of a man with ROSC after cardiac arrest

Computer
Hyperkalemia EKG ... classic “Pseudo-STEMI ... - Sam Ghali, M.D ... #Hyperkalemia #EKG ... #Cardiology #Clinical
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
the most likely diagnosis ... in 2% of acute LAD ... be considered a STEMI ... MusaSharkawi #Clinical ... #Cardiology #EKG