39 results
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
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... descending (LAD) occlusion ... DeWinter #TWaves #ECG ... #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 ... #occlusionMI #myocardial
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
100% proximal LAD Occlusion ... #ProximalLAD #Occlusion ... #ECG #EKG #STEMI ... #Clinical #ECG ... #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... STEMI Criteria misses ... #Total #ECG #EKG ... Electrocardiogram #Clinical ... #Cardiology
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
sign of Left Main occlusion ... aVR is a good ECG ... sign of left main occlusion ... #Clinical #EM #IM ... #Cardiology #EKG
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
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
probable inferior STEMI ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia ... #VT
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