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

Cath showed 100% proximal LAD Occlusion.
lady with chest ... 100% proximal LAD ... Occlusion. ... #ECG #EKG #STEMI ... #EKG #Electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... Occlusion Remember ... that RBBB normally ... STEMI Criteria misses ... @EM_RESUS #LAD
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... have no pain - LAD ... avR - proximal LAD ... in V1, unless LBBB ... #EKG #diagnosis
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Suspect STEMI ... a) Concordant STE ... > 1 mm in any lead ... V1-V3 c) STE ... Diagnosis #Checklist #EKG
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... anterior descending (LAD ... ) occlusion ... #EKG #Electrocardiogram
Torsades, STEMI with LAD Occlusion and PCI

Truly remarkable case.
 
🚑😵Arrest➡️Mg+⚡️➡️😧awake➡️cath lab➡️100% LAD➡️🙏👍🏻❤️

- Dr. Edward Lew
@elewMD

#Torsades #LADOcclusion
Torsades, STEMI ... with LAD Occlusion ... ➡️100% LAD➡️🙏👍 ... #LADOcclusion #STEMI ... #EKG #Clinical
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... a 100% occlusion ... how subtle an EKG ... can look in occlusion ... frequently missed stemi
EKG - Anterolateral STEMI with Tombstones 

Here’s an impressive #ECG of a man with chest pain
EKG - Anterolateral ... STEMI with Tombstones ... 100% Proximal LAD ... Occlusion. 1st ... @EM_RESUS #STEMI
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
Concerning for proximal LAD ... occlusion (Present ... V1-V4 without STE ... DeWinters #TWaves #EKG ... #ECG #diagnosis
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
occur with subtle STE ... in 2% of acute LAD ... occlusion. ... be considered a STEMI ... Clinical #Cardiology #EKG