8 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 ... clinical #cardiology #Electrocardiogram
Torsades, STEMI with LAD Occlusion and PCI

Truly remarkable case.
 
🚑😵Arrest➡️Mg+⚡️➡️😧awake➡️cath lab➡️100% LAD➡️🙏👍🏻❤️

- Dr. Edward Lew
@elewMD

#Torsades #LADOcclusion
Torsades, STEMI ... with LAD Occlusion ... ➡️100% LAD➡️🙏👍 ... #PCI #Electrocardiogram ... #ECG #EKG #Clinical
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Positive ECG ... of conventional STEMI ... This ECG is unique ... complex 10 in lead ... #EKG #Electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... have no pain - LAD ... avR - proximal LAD ... #Ischemia #ECG ... #EKG #diagnosis
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
> 1 mm in any lead ... wave > 25% in any lead ... Diagnosis #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... segment at (or 40-60 ms ... depression • Sgarbossa ... #ECG #EKG #diagnosis ... differential #cardiology #electrocardiogram
Approach to ECGs
Check
 - Age, gender, name
 - 25mm/s; 10mm/mV
 - 1mm = 40ms; 0.1 mV
Rate
Approach to ECGs ... ve in I, II - LAD ... #Approach #ECG ... #EKG #diagnosis ... #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... ventricle pacing lead ... STElevation #ST #STEMI ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram