15 results
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
on EKG 47 year ... What's the culprit artery ... a PFO during a bowel ... #EKG #clinical ... #ecg
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
hour, Ant/Sept STEMI ... on EKG. ... Dissection #POCUS #Echocardiogram ... #PSAX #Clinical ... #Cardiology
Double Valve Sign - Type A Aortic Dissection on POCUS Echocardiogram

STEMI on EKG: check the echo!
Dissection on POCUS Echocardiogram ... STEMI on EKG ... - VCU Ultrasound ... #cardiology #clinical ... #plax #clinical
TypeA Aortic Dissection on POCUS Echocardiogram

80yo F presents with CP&SOB after syncope. BP 91/62, HR81, O2sat
Dissection on POCUS Echocardiogram ... presents with CP&SOB after ... EKG: afib, twi I ... & aVL, poor rwp ... #Clinical #Ultrasound
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
depression in aVL ... suggestive of STEMI ... suggestive of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... visualization with use of ultrasound ... TIMI III flow in all
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Main Coronary Artery ... “Mother of all ... Anterior wall STEMI ... Cardiogenic shock, ECG ... Angiogram #CathLab #clinical
The ECG shows ST elevation (STE) across the precordium, highest in V2 and V3. There are
The ECG shows ST ... any R-wave at all ... morphology") #Clinical ... #EM #Cardiology ... #EKG #Aneurysm
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (-) EM ... Metoprolol - VCU Ultrasound ... Cardiomyopathy #HOCM #HCM #clinical ... #echocardiogram
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
event, follow ACC ... indicated • EKG ... Obtain EKG if: ... Change in clinical ... indication of AC