37 results
Posterior STEMI by "flipping" the EKG

- BCM IM Residency @BCM_InternalMed

#Posterior #STEMI #flipping #flipped #EKG #ECG #Electrocardiogram
Posterior STEMI ... "flipping" the EKG ... #flipped #EKG # ... ECG #Electrocardiogram ... #clinical #cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
3 ECG patterns for ... elevation criteria • Posterior ... MyocardialInfarction #OMI #STEMI ... electrocardiogram #ecg ... #ekg
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
need for urgent treatment ... , STEMI is the default ... features of the EKG ... : #Diagnosis #Cardiology ... #EKG #ECG #STElevation
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 ... NSTEMI: 1. ... Unstable/cardiogenic ... low (1-2) risk, +ECG ... catheterization #cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
hypertension Management ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
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 ... #EKG #diagnosis ... electrocardiogram #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... DCSI #Initiative #Management ... #Cardiology
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Recognize this #ECG ... STD in V2 (posterior ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... segment at (or 40-60 ms ... elevation in aVR • Posterior ... #Equivalents #ECG ... #EKG #diagnosis
Severe Heart Failure & Cardiogenic Shock - Management Checklist 
Evaluation 
 - EKG & echocardiography
Shock - Management ... Evaluation - EKG ... Revascularization, treatment ... Nephrotoxins (e.g ... channel blocker (eg