13 results
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
The electrocardiogram ... in the ACS patient ... : high-risk electrocardiographic ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI
Focal Takotsubo Cardiomyopathy on Ventriculogram Angiography 

55 year old, severe chest pain after death of close
close relative, ECG ... diagnosis was STEMI ... Ventriculogram #Angiogram ... #clinical #cardiology ... #cathlab #fluoroscopy
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
or echo/angiogram ... proximal LAD or high ... wave inversion in avL ... #electrocardiogram ... #cardiology #STEMI
Hypertrophic Cardiomyopathy (HOCM) - EKG Characteristics
Typical EKG findings may include:
 • Deep and narrow Q waves
Hypertrophic Cardiomyopathy ... signs of LVH (high ... #Hypertrophic #Cardiomyopathy ... #clinical #cardiology ... #electrocardiogram
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
“Mother of all ... Anterior wall STEMI ... Cardiogenic shock, ECG ... Thrombus #LMCA #Angiogram ... #CathLab #clinical
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Specific for critical ... High rate in <1 ... EKGS in pts are crucial ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... isolated to I & aVL ... @EM_RESUS #STEMI ... #EKG #Electrocardiogram ... #Cardiology #Clinical
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 ... @EM_RESUS #STEMI ... #ekg #electrocardiogram ... #cardiology #clinical
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... The mother of all ... Wraparound #LAD #STEMI ... #EKG #clinical ... #cardiology #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... depression Takotsubo Cardiomyopathy ... • Short QT, high ... STElevation #ST #STEMI ... #ecg #ekg #electrocardiogram