6 results
Posterior STEMI by "flipping" the EKG

- BCM IM Residency @BCM_InternalMed

#Posterior #STEMI #flipping #flipped #EKG #ECG #Electrocardiogram
Posterior STEMI ... BCM_InternalMed #Posterior ... #STEMI #flipping ... ECG #Electrocardiogram ... #clinical #cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
elevation criteria • Posterior ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology ... #electrocardiogram ... #ecg #ekg
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Cath Lab ASAP: STEMI ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... #Inpatient #CathLab ... catheterization #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... depression in VI-V2 - posterior ... #Ischemia #ECG ... #electrocardiogram ... #cardiology #STEMI
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... established, but died on table ... LMCA #Angiogram #CathLab ... #clinical #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... elevation in aVR • Posterior ... #Equivalents #ECG ... #differential #cardiology ... #electrocardiogram