14 results
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
perspective: II, III & aVL ... leads), I & aVL ... contiguous I, aVL ... #STEMI #Localization ... EmergencyMedicine #Cardiology
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 ... electrocardiogram #cardiology ... Interpretation #differential
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... artery (LMCA). left anterior ... #AVR #leadAVR #ecg ... #differential # ... cardiology
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
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
ST elevation in aVR ... of the leads l, aVL ... #Equivalents #ECG ... #differential # ... cardiology #electrocardiogram
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 ... CathLab #clinical #cardiology
Medial Meniscus Bucket Handle Tear - MSK Radiology
Imaging Findings:
 • Truncation of the medial meniscus on
Handle Tear - MSK Radiology ... The "double PCL ... parallel to the PCL ... Differential diagnosis ... mri #clinical #Radiology
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
Septal (V1-2) • Anterior ... • Lateral (I + aVL ... leads except aVR ... Interpretation #ECG ... Electrocardiogram #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... Index < 2.2 AND anatomy ... Angiography & PCI ... TIMI III flow in all ... Initiative #Management #Cardiology
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