12 results
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... believe that the ST ... segment is the only ECG ... #cardiology #occlusionMI ... infarction #diagnosis #coronary
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... anterior descending (LAD ... ) occlusion ... #Diagnosis #Cardiology
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
EKG - Anterolateral STEMI with Tombstones 

Here’s an impressive #ECG of a man with chest pain
STEMI with Tombstones ... 100% Proximal LAD ... troponin to rule out Coronary ... Occlusion! ... #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INCLUSION CRITERIA ... 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 ... in shock with VT ... CathLab #clinical #cardiology
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 ... which often mimic coronary ... occlusion! ... Hemorrhage #SAH #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
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
help stratify cardiac ... emergent cath lab ... activation for coronary ... Comatose #CathLab #NSTEMI ... Stratfication #Management #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