23 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... - STE V1 >V2 ... tall T wave in V1 ... is inverted in V1
LAD STEMI on with Anterior Hypokinesis POCUS Echocardiogram

What's the diagnosis?? 63 year old with BP of
LAD STEMI on with ... Anterior Hypokinesis POCUS ... echo: proximal LAD ... STEMI. ... #Hypokinesis #POCUS
Proximal LAD STEMI with Anterior Wall Akinesis on POCUS

If you have trouble appreciating regional wall motion
Proximal LAD STEMI ... Wall Akinesis on POCUS ... with a proximal LAD ... STEMI. ... #POCUS
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis
 • Lead V1 - LBBB Criteria
 •
Diagnosis • Lead ... V1 - LBBB Criteria ... • Lead V1 - RBBB ... aVR - Vereckie Algorithm ... #Algorithm #
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... Depression in V1 ... STEMI Criteria misses ... @EM_RESUS #LAD
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
LAD Coronary Artery ... Dissection on POCUS ... hour, Ant/Sept STEMI ... Cath LAD dissection ... Artery #Dissection #POCUS
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Dominant S wave in V1 ... (deep S waves V1 ... Criteria - Suspect STEMI ... > 1 mm in any lead ... 1 mm in leads V1
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
in aVL and in lead ... suggestive of STEMI ... delay (R'-wave in V1 ... ST elevation in V1 ... suggestive of STEMI
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 ... or NSTEMI) Cardiogenic ... ACTIVATE CATH LAB ... Cardiogenic #Shock #Algorithm
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... no contiguous lead ... V1 & V2 sit over ... Electrocardiogram #STEMI