8 results
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
anterior descending occlusions ... come before or after ... STEMI - look for ... #ECG #Electrocardiogram ... #diagnosis #cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... predicted Left main occlusion ... from LMCA into aortic ... in shock with VT ... CathLab #clinical #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
, Aortic dissection ... Equivalents / Don't Miss Signs ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Double Valve Sign ... Echocardiogram STEMI ... on EKG: check the ... Can you spot the ... Echocardiogram #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
at (or 40-60 ms after ... V2 • Wellens sign ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... • Epicardial artery ... Post-cardioversion • Acute aortic ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
CA • Involves aortic ... nodes • Roth’s spots ... due to vascular occlusion ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Ovarian CA, involves aortic ... nodes • Roth’s spots ... due to vascular occlusion ... ↑ ESR, CRP • EKG ... Differential #Diagnosis #cardiology