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

Cath showed 100% proximal LAD Occlusion.
a 32-year-old lady ... 100% proximal LAD ... - Sam Ghali, ... Occlusion #ECG #EKG #STEMI ... Clinical #ECG #EKG #Electrocardiogram
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 ... @EM_RESUS #LAD ... Total #ECG #EKG #Electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... have no pain - LAD ... avR - proximal LAD ... EKG #diagnosis #electrocardiogram ... Interpretation #differential
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... - D1 of LAD There ... - Sam Ghali, ... @EM_RESUS #STEMI ... Diagonal1 #ECG #EKG #Electrocardiogram
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 ... is a contrast load ... - Sam Ghali, M.D ... Hyperkalemia #EKG #ECG #Electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... V2 • Wellens sign ... pain • Wellens sign ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
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
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Segment Elevation - Differential ... Diagnosis Framework STEMI ... STE: "Pardee's sign ... (Eiffel Tower sign ... cardiology #ecg #ekg #electrocardiogram
Heat Illnesses and Heat Stroke - Differential Diagnosis Framework

Heat Cramps:
 • Muscle pain or spasm -
Heat Stroke - Differential ... Collapse: • Pathophysiology ... → Syncope • Signs ... function, Ataxia • Lab ... heat #illness #differential
Bear Paw Sign of Xanthogranulomatous Pyelonephritis on POCUS

Adult female with right flank pain, fever, leukocytosis, soft
Bear Paw Sign of ... Right renal sag ... Diagnosis/differential ... "Bear paw sign." ... Also had early perinephric