15 results
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
LAD Coronary Artery ... Dissection on POCUS ... on EKG. ... Cath LAD dissection ... #Dissection #POCUS
Distinguishing Between Benign Early repolarization vs STEMI on EKG
#Diagnosis #Cardiology #ECG #EKG #Repolarization #STEMI #Comparison #Table
on EKG #Diagnosis ... #Cardiology #ECG ... #EKG #Repolarization ... #STEMI #Comparison ... #Table #ALiEM
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Acute Coronary Syndrome ... , STEMI 1 STABLE ... is reflected by ECG ... #Diagnosis #Cardiology ... Text: The Only EKG
EKG - Anterolateral STEMI with Tombstones 

Here’s an impressive #ECG of a man with chest pain
EKG - Anterolateral ... an impressive #ECG ... 100% Proximal LAD ... Anterolateral #EKG ... #ECG #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... , Aortic dissection ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Inpatient Cath Lab Indications
Cath Lab ASAP:
STEMI
NSTEMI:
1. Unstable/cardiogenic shock
2. Severe LV dysfunction or
3. Recurrent/persistent rest angina despite
Inpatient Cath Lab ... ASAP: STEMI NSTEMI ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... catheterization #cardiology
Torsades de Pointes
• "Twisting of the pointes" 
• QRS axis swings from positive to negative direction
positive to negative direction ... single lead • ... Originates from single focus ... TorsadesDePointes #Diagnosis #Cardiology ... #ECG #EKG
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Left Main Coronary ... Anterior wall STEMI ... Cardiogenic shock, ECG ... established, but died on table ... CathLab #clinical #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 ... ACTIVATE CATH LAB ... place IMPELLA Coronary ... administration of intra-coronary
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
waves in opposite direction ... Criteria - Suspect STEMI ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg ... #cardiology #lbbb