21 results
ekg diagnosis electrocardiogram clinical algorithm management cathlab coronary endocarditis equivalents modified omi sgarbossa twaves acs angiogram artery avr cardiogenic catheterization
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
Pattern STEMI ... anterior descending (LAD ... ) occlusion ... #Diagnosis #Cardiology ... #Criteria
Here’s an ECG of a patient with 100% Acute LAD Occlusion Remember that RBBB normally has ST
Here’s an ECG of ... with 100% Acute LAD ... Occlusion Remember ... STEMI Criteria misses ... #Clinical #Cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria • Posterior MI
Acute Occlusion ... without meeting ST ... elevation criteria ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm The name STEMI cognitively inspires EPs to fail
- Differential ... believe that the ST ... segment is the only ECG ... #Differential # ... Algorithm #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
ASAP: STEMI NSTEMI ... low (1-2) risk, +ECG ... /UA: stable, TIMI ... #Indications #Cardiac ... catheterization #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 ... elevation: Differential ... #differential # ... cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
Approach to ECGs ... have no pain - LAD ... avR - proximal LAD ... electrocardiogram #cardiology ... Interpretation #differential
High Lateral STEMI - D1 of LAD There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... similar but this ST ... 100% proximal occlusion ... #Diagonal1 #ECG ... #Cardiology #Clinical
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM INCLUSION CRITERIA Acute Myocardial Infarction  Ischemic Symptoms  EKG and/or biomarker evidence of AMI
CRITERIA Acute ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... Initiative #Management #Cardiology
Left Main Coronary Artery Thrombus seen on Angiography “Mother of all coronary thrombi”. 55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... predicted Left main occlusion ... established, but died on table ... CathLab #clinical #cardiology
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