21 results
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion
unforgettable ECG ... #Cardiology #EKG ... #ECG #Patterns ... #Coronary #Occlusion ... DeWinter #Sgarbossa #STEMI
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
believe that the ST ... segment is the only ECG ... predictive of occlusion ... Differential #Algorithm #cardiology ... infarction #diagnosis #coronary
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Left Main Coronary ... Artery Occlusion ... on ECG - aVR ... #ECG #EKG #Diagnosis ... Electrocardiogram #Cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
3 ECG patterns for ... Acute Occlusion ... without meeting ST ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #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 ... LMCA #Angiogram #CathLab ... #clinical #cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... descending (LAD) occlusion ... 1) Upsloping ST ... #Diagnosis #Cardiology
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Acute Coronary Syndrome ... , STEMI 1 STABLE ... - A STEMI is ... is reflected by ECG ... #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 ... 100% Acute LAD Occlusion ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... Electrocardiogram #Clinical #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
Cath Lab ASAP: STEMI ... low (1-2) risk, +ECG ... #Inpatient #CathLab ... #Indications #Cardiac ... catheterization #cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
anterior descending occlusions ... before or after STEMI ... - look for ST ... #ECG #Electrocardiogram ... #diagnosis #cardiology