23 results
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... Equivalents / Don't Miss Signs ... in avL - early inferior ... #EKG #diagnosis
Proximal LAD STEMI on EKG

Pt required pressors to get to PCI.

Eric Abrams, MD @eabramsMD

#Proximal #LAD #STEMI
Proximal LAD STEMI ... on EKG Pt required ... Proximal #LAD #STEMI ... #EKG #ECG #clinical ... Electrocardiogram #Anterior
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
with probable inferior ... STEMI, but becomes ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
in aVR, a true sign ... sign of left main ... #Clinical #EM #IM ... #Cardiology #EKG ... #STElevations #STE
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... becoming acute anterior ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... STE in II, III, ... Hyperacute Inferior ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
Hypertrophic Cardiomyopathy (HOCM) - EKG Characteristics
Typical EKG findings may include:
 • Deep and narrow Q waves
Cardiomyopathy (HOCM) - EKG ... Characteristics Typical EKG ... the lateral and inferior ... leads • General signs ... #ecg #clinical
Acute Inferior AMI with Right Ventricular Involvement #Clinical #Cardiology #EKG #Inferior #RV #RightVentricular #STEMI #ECGEducator
Acute Inferior AMI ... Ventricular Involvement #Clinical ... #Cardiology #EKG ... #Inferior #RV # ... RightVentricular #STEMI
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... : "Pardee's sign ... anteroseptal and inferior ... (Eiffel Tower sign ... #ekg #electrocardiogram