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

Cath showed 100% proximal LAD Occlusion.
a 32-year-old lady ... - Sam Ghali, ... Occlusion #ECG #EKG #STEMI ... Clinical #ECG #EKG #Electrocardiogram ... #Cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... Equivalent - Left ... anterior descending (LAD ... TWaves #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology
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 ... ASAP: STEMI NSTEMI ... /UA: stable, TIMI ... #Inpatient #CathLab ... catheterization #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI ... #Equivalents #Interpretation ... #differential
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 ... Total #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... #Equivalents #ECG ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... - Sam Ghali, ... @EM_RESUS #STEMI ... Diagonal1 #ECG #EKG #Electrocardiogram ... #Cardiology #Clinical
Proximal LAD Obstruction on Cardiac Catheterization

Here’s a great shot of the vessel being opened up at
Proximal LAD Obstruction ... Sam Ghali, M.D. ... Catheterization #Cathlab ... #Fluoroscopy #cardiology ... #clinical #STEMI
Hyperkalemia EKG - K of 8.5

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

Computer
Computer is calling STEMI ... classic “Pseudo-STEMI ... - Sam Ghali, M.D ... Hyperkalemia #EKG #ECG #Electrocardiogram ... #Cardiology #Clinical
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
tachy not from SA ... different P waves in lead ... /brady) (3) SA ... EKG #diagnosis #electrocardiogram ... #cardiology #differential