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

Cath showed 100% proximal LAD Occlusion.
lady with chest ... - Sam Ghali, ... #EKG #STEMI #Clinical ... #ECG #EKG #Electrocardiogram ... #Cardiology
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
The electrocardiogram ... the ACS patient: high-risk ... ST-segment elevation #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #Equivalents
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 ... - Sam Ghali, M.D ... #EKG #Electrocardiogram ... #Clinical #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
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... - Sam Ghali, ... @EM_RESUS #STEMI ... #ECG #EKG #Electrocardiogram ... #Cardiology #Clinical
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
: AntLat MI, WPW ... congenital, MI, high ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... High rate in <1 ... Serial EKGS in pts ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
or high burden ... unless LBBB/LVH/high ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Hyperkalemia EKG - K of 8.5

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

Computer
classic “Pseudo-STEMI ... - Sam Ghali, M.D ... #Hyperkalemia #EKG ... #ECG #Electrocardiogram ... #Cardiology #Clinical
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... clusvon has a high ... #electrocardiogram ... #diagnosis #ekg ... #differential #cardiology