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

Cath showed 100% proximal LAD Occlusion.
a 32-year-old lady ... 100% proximal LAD ... 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 ... anterior descending (LAD ... TWaves #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... Criteria - Suspect STEMI ... > 1 mm in any lead ... Checklist #EKG #electrocardiogram ... #ecg #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 ... @EM_RESUS #LAD ... Total #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... infarct, get a 15 lead ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI
Various wide complex tachycardia (WCT) differentiation algorithmic designs and algorithms.
The most commonly utilized approaches to differentiate
aVR,6 and limb lead ... algorithms. ... VTach #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology ... #Algorithms
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... Sgarbossa criterion 3 (modified ... #differential #cardiology ... #electrocardiogram
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... Cardiogenic #Shock #Algorithm ... Initiative #Management #Cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... all wraparound LAD ... #Wraparound #LAD ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram