35 results
Posterior STEMI by "flipping" the EKG

- BCM IM Residency @BCM_InternalMed

#Posterior #STEMI #flipping #flipped #EKG #ECG #Electrocardiogram
Posterior STEMI ... BCM_InternalMed #Posterior #STEMI ... flipped #EKG #ECG #Electrocardiogram ... #clinical #cardiology
Proximal LAD STEMI on EKG

Pt required pressors to get to PCI.

Eric Abrams, MD @eabramsMD

#Proximal #LAD #STEMI
Proximal LAD STEMI ... Proximal #LAD #STEMI ... #EKG #ECG #clinical ... #cardiology #Electrocardiogram
Pericardial Effusion on EKG
 • Electrical alternans
 • Low voltage
 • Sinus tachycardia (suggests possibility of
Pericardial Effusion ... #Pericardial #Effusion ... #EKG #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
Occlusion #ECG #EKG #STEMI ... #Clinical #ECG ... #EKG #Electrocardiogram ... #Cardiology
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
It starts as sinus ... probable inferior STEMI ... #Clinical #EM #Cardiology
Pericardial Clot on Echocardiogram

ST elevation of acute pericarditis was misdiagnosed as STEMI and thrombolysed with SK
misdiagnosed as STEMI ... hemorrhagic pericardial effusion ... #Pericardial #effusion ... Echocardiogram #POCUS #clinical ... #cardiology #a4c
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... big R or R/S>I STEMI ... deWinter T waves - starts ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
STEMI Criteria misses ... Total #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
• Capture and fusion ... AIVR #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram ... #clinical
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
a delta wave, short ... 120 msec) 3 Short ... WolffParkinsonWhite #WPW #Cardiology ... #ECG #EKG #Electrocardiogram ... #Clinical #Diagnosis