13 results
Proximal LAD STEMI on EKG

Pt required pressors to get to PCI.

Eric Abrams, MD @eabramsMD

#Proximal #LAD #STEMI
Proximal LAD STEMI ... on EKG Pt required ... #Proximal #LAD ... #STEMI #EKG #ECG ... #Electrocardiogram
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... anterior descending (LAD ... DeWinter #TWaves #ECG ... #EKG #Electrocardiogram
Type 1 Second-degree AV block, also known as Mobitz I or Wenckebach periodicity, is almost always
(ECG) on consecutive ... #Clinical #EM #IM ... #Cardiology #MedStudent ... #EKG #MobitzI # ... #ECGEducator
Type 1 Second-degree AV block, also known as Mobitz I or Wenckebach periodicity, is almost always
(ECG) on consecutive ... #Clinical #EM #IM ... #Cardiology #MedStudent ... #EKG #MobitzI # ... #ECGEducator
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... Occlusion #Total #ECG ... #EKG #Electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... have no pain - LAD ... #Ischemia #ECG ... #EKG #diagnosis ... #cardiology #STEMI
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... complex 10 in lead ... Sgarbossa #Positive #ECG ... #Electrocardiogram ... #Clinical #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
- Suspect STEMI ... > 1 mm in any lead ... wave > 25% in any lead ... Diagnosis #Checklist #EKG ... #ecg #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... anterior descending (LAD ... aVR • Classic EKG ... only looks at aVR lead ... #diagnosis #ekg
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
ve in I, II - LAD ... #Approach #ECG ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #interpretation