13 results
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Coronary Syndrome (ACS ... , STEMI 1 STABLE ... is reflected by ECG ... #Diagnosis #Cardiology ... : The Only EKG Book
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... descending (LAD) occlusion ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... meeting ST elevation criteria ... @jonnywatt #Occlusion ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
OMI vs STEMI - Differential ... segment is the only ECG ... predictive of occlusion ... #Algorithm #cardiology ... #occlusionMI #myocardial
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Recurrent/persistent rest ... low (1-2) risk, +ECG ... #Indications #Cardiac ... #catheterization ... #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
100% Acute LAD Occlusion ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... #Total #ECG #EKG ... Electrocardiogram #Clinical #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
Winter T-Waves on EKG ... anterior descending occlusions ... before or after STEMI ... ST elevation in aVR ... #diagnosis #cardiology
STEMI with Tombstones and Shark Fins

Here’s a deadly ECG with Tombstones AND Shark Fins. When you
STEMI with Tombstones ... this you must act ... *will* go into Cardiac ... #ekg #electrocardiogram ... #cardiology #clinical
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
ï‚· Ischemic Symptoms
ï‚· EKG and/or biomarker evidence of AMI
CRITERIA Acute ... Ischemic Symptoms ï‚· EKG ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... Initiative #Management #Cardiology
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
subtle STE in aVR ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #DeWinters ... #STWaves #Occlusion