17 results
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
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
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
CRITERIA Acute ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology
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
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
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
combination of ST ... in 2% of acute LAD ... occlusion. ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... Discordance" = ST ... - Suspect STEMI ... electrocardiogram #ecg ... #cardiology #lbbb
EKG with Cerebral T Waves in Subarachnoid Hemorrhage

ECG of a 45-year-old man who suddenly collapsed to
the ground in cardiac ... There are ST deviations ... mimic coronary occlusion ... confirmed SAH and Cath Lab ... Hemorrhage #SAH #Cardiology