11 results
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
Lead aVR on EKG ... conditions: - Acute ... MI - Pericarditis ... #ECG #Lead #AVR ... #Utility #ALiEM
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... patient with 100% Acute ... LAD Occlusion ... STEMI Criteria misses ... #ECG #EKG #Electrocardiogram
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
3 ECG patterns for ... Acute Occlusion ... without meeting ST ... elevation criteria ... diagnosis #cardiology #electrocardiogram
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... anterior descending (LAD ... ) occlusion ... #EKG #Electrocardiogram ... Diagnosis #Cardiology #Criteria
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Acute myocardial ... anterior descending (LAD ... Pericarditis: PR ... #electrocardiogram
Shock - Diagnosis and Management Summary
 • Hypotension: SBP<90, SBP drop >40, MAP<65 (Normotension, HTN possible
Diagnosis and Management ... EKG • Ensure ... > Constrictive pericarditis ... Tamponade - Pulmonary ... >> Acute PE, Tension
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
depression Pericarditis ... QRS complex Pulmonary ... weeks following an acute ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
INITIATIVE ALGORITHM INCLUSION ... CRITERIA Acute ... Ischemic Symptoms  EKG ... ACTIVATE CATH LAB ... DCSI #Initiative #Management
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Culture (+): Acute ... Cerebral > Splenic, pulmonary ... due to vascular occlusion ... -> TEE • Duke Criteria ... Endocarditis #diagnosis #management
Immune Reconstitution Inflammatory Syndrome - Overview of IRIS

What Is IRIS?
	• A state of hyperinflammatory response that
• ART ↓ viral load ... specific diagnostic criteria ... tuberculoma meningitis, pericarditis ... Calmette-Guérin (BCG ... Differential #Diagnosis #Management