10 results
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
cognitively inspires EPs ... segment is the only ECG ... predictive of occlusion ... Differential #Algorithm #cardiology ... diagnosis #coronary #syndrome
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... RBBB normally has ... STEMI Criteria misses ... #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
EKG - Anterolateral STEMI with Tombstones 

Here’s an impressive #ECG of a man with chest pain
EKG - Anterolateral ... an impressive #ECG ... 100% Proximal LAD ... #ECG #clinical ... #cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... predicted Left main occlusion ... CathLab #clinical #cardiology ... #fluoroscopy
Wellens' Syndrome on ECG

A 66-year-old man with hypertension and hyperlipidemia presents after an episode of severe
on ECG A 66- ... His vitals are T ... A 12-lead ECG is ... #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
’s a beautiful angiogram ... shot after reperfusion ... exactly why the ECG ... Catheterization #CathLab #cardiology ... #clinical #fluoroscopy
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... Ventriculogram #Angiogram ... #clinical #cardiology ... #cathlab #fluoroscopy
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... ultrasound and fluoroscopy ... Initiative #Management #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... • Epicardial artery ... STElevation #ST #STEMI ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Cholesterol emboli syndrome ... due to vascular occlusion ... that may lead to ... ↑ ESR, CRP • EKG ... Differential #Diagnosis #cardiology