23 results
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
It starts as sinus ... with probable inferior ... STEMI, but becomes ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... V4 sit over the anterior ... and are called anterior ... #STEMI #Localization ... EinthovenTriangle #Cardiac
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
deWinter T waves - starts ... wave inversion in avL ... - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology
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 ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology
STEMI with Tombstones and Shark Fins

Here’s a deadly ECG with Tombstones AND Shark Fins. When you
STEMI with Tombstones ... this you must act ... *will* go into Cardiac ... #ekg #electrocardiogram ... #cardiology #clinical
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
Hyperacute Inferior ... Reciprocal STD in I & aVL ... Biphasic T-wave in aVL ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
Cardiac Amyloid - Diagnosis, Signs, Symptoms and Management

Clinical Presentation
- exertional dyspnea
- peripheral edema
- exertional syncope
- peripheral
Cardiac Amyloid ... , Symptoms and Management ... Clinical Presentation ... despite hx HTN) EKG ... Signs #Symptoms #Cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
“Mother of all ... old male with Anterior ... wall STEMI, in ... Cardiogenic shock, ECG ... Angiogram #CathLab #clinical
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ... depression in aVL ... suggestive of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Cardiac Event Monitoring ... records asx events, all ... Disadvantages: Short ... NUIM_Chiefs #Cardiac ... #management #holter