39 results
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Left Main Coronary ... ST segment elevation ... > ST segment elevation ... #ECG #EKG #Diagnosis ... Electrocardiogram #Cardiology
ST Elevation MI Criteria 
#Diagnosis #Cardiology #ECG #EKG #STEMI #STElevationMI #Criteria #FOAMCast
ST Elevation MI ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI ... #STElevationMI
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion
suggestive of coronary ... occlusion #Diagnosis ... #Cardiology #EKG ... #Coronary #Occlusion ... DeWinter #Sgarbossa #STEMI
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
believe that the ST ... segment is the only ECG ... predictive of occlusion ... Differential #Algorithm #cardiology ... infarction #diagnosis #coronary
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... descending (LAD) occlusion ... elevation in aVR ... DeWinter #TWaves #ECG ... #Diagnosis #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
100% Acute LAD Occlusion ... So ANY ST Elevation ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... Electrocardiogram #Clinical #Cardiology
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
sign of Left Main occlusion ... is a good ECG sign ... of left main occlusion ... Clinical #EM #IM #Cardiology ... #EKG #STElevations
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
anatomically oriented ST-segment ... elevation #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #Equivalents
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