22 results
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Block on EKG ... axis deviation (LAD ... in leads I and aVL ... #EKG #ECG #Electrocardiogram ... #labeled #clinical
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
Wellen's Syndrome ... specific for a critical ... stenosis of the left anterior ... descending (LAD ... #EKG #ECG #Electrocardiogram
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
’s a beautiful angiogram ... exactly why the ECG ... anterolateral AND inferior ... Catheterization #CathLab #cardiology ... #clinical #fluoroscopy
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
on EKG 47 year ... The mother of all ... a PFO during a bowel ... #STEMI #EKG #clinical ... #ecg
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
old male with Anterior ... Cardiogenic shock, ECG ... established, but died on table ... Thrombus #LMCA #Angiogram ... #CathLab #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... or echo/angiogram ... - early inferior ... #Ischemia #ECG ... #EKG #diagnosis
Anterior Hypokinesis on POCUS Echocardiogram

A 69yo female with history of hypertension presents with 30min shortness of
EKG unremarkable ... = best management ... This was her EKG ... Echocardiogram #clinical ... #cardiology #PSAX
Leukostasis vs Tumor Lysis Syndrome
Leukostasis:
 • Pathophysiology: Large, immature blasts and high WBC count cause hyperviscosity
vs Tumor Lysis Syndrome ... have fever - ACS ... limb ischemia, bowel ... unless worrisome EKG ... TLS #diagnosis #management
Anterior-Septal Wall Motion Abnormality on POCUS Echocardiogram

58yoM smoker, neg nuclear ST last week, with CP that
Anterior-Septal ... EKG: nsr, TWI v1 ... Resolution: ACS. ... Echocardiogram #Clinical ... #Cardiology #PLAX
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ... depression in aVL ... and in lead I, ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior