16 results
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... The mother of all ... a PFO during a bowel ... #EKG #clinical ... #cardiology #electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
ST elevation: Differential ... aVR • Classic EKG ... electrocardiogram #diagnosis #ekg ... #differential # ... cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... or NSTEMI) Cardiogenic ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... OMI vs STEMI - Differential ... segment is the only ECG ... #OMI #STEMI #Differential ... #Algorithm #cardiology
Myocarditis
Diagnosis 
• Endomyocardial biopsy (gold standard, rarely performed) 
• Clinical presentation 
• Cardiovascular MRI 
Clinical 
•
Unexplained sinus tachycardia ... gallop • Abnormal ECG ... , echocardiogram ... Elevated troponin • Cardiogenic ... #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... wave inversion in avL ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Evaluation - EKG ... NSAlDs, ACE-inhibitors ... #HeartFailure #Cardiology ... #Management
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
“Mother of all ... Anterior wall STEMI ... , in Cardiogenic ... shock, ECG predicted ... CathLab #clinical #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... of the leads l, aVL ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Myocarditis 

5 Principles of
Myocarditis:
1. Build clinical suspicion
2. Decide on EMBx
3. Manage acute cardiac injury
4. Manage chronic
- Acute HF, Cardiogenic ... Pericarditis, Tamponade EKG ... agent, steroids, AC ... Myocarditis #diagnosis #management ... #cardiology #summary