9 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 ... #EKG #Electrocardiogram ... #Cardiology
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 ... #ECG #EKG #Electrocardiogram ... #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, ... #ECG #EKG #Electrocardiogram ... #Cardiology #Clinical
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
ASAP: STEMI NSTEMI ... persistent rest angina ... intermediate (3-4) or high ... low (1-2) risk, +ECG ... /UA: stable, TIMI
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... or high burden ... #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential
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 ... #differential # ... cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
Approach to ECGs ... (1) Sinus tachycardia ... different P waves in lead ... #electrocardiogram ... #cardiology #differential
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... block; and sinus tachycardia ... Prinzmetal's Angina ... • Short QT, high ... #ecg #ekg #electrocardiogram
Peripartum Cardiomyopathy (PPCM)

What is PPCM?
• A form of acute systolic heart failure that develops late in
• Key Point: High ... , selenium) Differential ... Nonspecific: sinus tachycardia ... on the electrocardiogram ... patients require LVAD