14 results
Wraparound LAD on Cardiac Catheterization

Answer: Proximal “Wraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
Cardiac Catheterization ... exactly why the ECG ... #LAD #Cardiac # ... Catheterization #CathLab ... #cardiology #clinical
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
Note there is ST ... is a good ECG sign ... #Clinical #EM #IM ... #Cardiology #EKG ... #STElevations #
Wraparound LAD STEMI on Cardiac Cath
47 year old with chest pain. Ectopic atrial rhythm with ST
Wraparound LAD STEMI ... on Cardiac Cath ... #LAD #STEMI #clinical ... #cardiology #CardiacCath ... #CathLab #fluoroscopy
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... atrial rhythm with ST ... mother of all wraparound ... #LAD #STEMI #EKG ... #clinical #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... So ANY ST Elevation ... STEMI Criteria misses ... Occlusion #Total #ECG ... #Clinical #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
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
is additional ST ... elevation in lateral ... diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
elevation with ... suggestive of STEMI ... elevation in V1 ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... in shock with VT ... LMCA #Angiogram #CathLab ... #clinical #cardiology
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
precordial leads and ST ... elevation in inferior ... proximal LAD to a wraparound ... #Clinical #EM #Cardiology ... #EKG #DeWinter