29 results
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential ... segment is the only ECG ... predictive of occlusion ... #Differential # ... Algorithm #cardiology
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
100% proximal LAD Occlusion ... #ProximalLAD #Occlusion ... #ECG #EKG #STEMI ... #Clinical #ECG ... #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... STEMI Criteria misses ... #Total #ECG #EKG ... Electrocardiogram #Clinical ... #Cardiology
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
in aVR, a true sign ... aVR is a good ECG ... occlusion. ... #Clinical #EM #IM ... #Cardiology #EKG
Taktosubo MIMIC on Echocardiogram A4C

ECG with anterolateral T wave inversions. Acute 99% LAD lesion + 70%
Echocardiogram A4C ECG ... Echocardiogram #A4C #LAD #occlusion ... #clinical #pocus ... #cardiology
EKG - Anterolateral STEMI with Tombstones 

Here’s an impressive #ECG of a man with chest pain
STEMI with Tombstones ... an impressive #ECG ... @EM_RESUS #STEMI ... #ECG #clinical ... #cardiology
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
fibrillation Clinical ... No prognostic value ... JWave #Diagnosis #Differential ... #Cardiology #EKG ... #ECG #Hypothermia
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... Equivalents / Don't Miss Signs ... electrocardiogram #cardiology ... Interpretation #differential
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
Dissection on POCUS ... hour, Ant/Sept STEMI ... on EKG. ... Echocardiogram #PSAX #Clinical ... #Cardiology
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... Differential/diagnosis ... RV, McConnell's sign ... Echocardiogram #A4c #clinical ... #cardiology #McConnells