14 results
Patterns of Ischemia T-Waves on ECG

However, there are more kinds of ischemia than just STEMI and
than just STEMI ... of even normal ECGs ... #Diagnosis #Cardiology ... #ECG #EKG #NSTEMI ... #HyperacuteT #Table
Distinguishing Between Benign Early repolarization vs STEMI on EKG
#Diagnosis #Cardiology #ECG #EKG #Repolarization #STEMI #Comparison #Table
repolarization vs STEMI ... on EKG #Diagnosis ... #Cardiology #ECG ... #STEMI #Comparison ... #Table #ALiEM
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Unstable Angina, NSTEMI ... , STEMI 1 STABLE ... - A STEMI is ... #Diagnosis #Cardiology ... #Angina #NSTEMI
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
NSTEMI: 1. ... lab w/in 24 h: NSTEMI ... low (1-2) risk, +ECG ... #Inpatient #CathLab ... catheterization #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... diffuse PR dep) NSTEMI ... big R or R/S>I STEMI ... #STEMI #Equivalents
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
year old, severe chest ... close relative, ECG ... diagnosis was STEMI ... Angiogram #clinical #cardiology ... #cathlab #fluoroscopy
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... established, but died on table ... LMCA #Angiogram #CathLab ... #clinical #cardiology
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... to the ER with chest ... InferoPosterior transmural ischemia ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... aVR • Posterior STEMI ... anterior leads) #STEMI ... #differential #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Infarction  Ischemic ... Symptoms  EKG ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... Initiative #Management #Cardiology