Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Proximal LAD STEMI on EKG

Pt required pressors to get to PCI.

Eric Abrams, MD @eabramsMD

#Proximal #LAD #STEMI
Proximal LAD STEMI ... Proximal #LAD #STEMI ... #EKG #ECG #clinical ... #cardiology #Electrocardiogram ... #Anterior
EKG - Anterolateral STEMI with Tombstones 

Here’s an impressive #ECG of a man with chest pain
EKG - Anterolateral ... STEMI with Tombstones ... an impressive #ECG ... #EKG #ECG #clinical ... #cardiology
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior ... #Lateral #InferoLateral
Extensive Anterolateral Myocardial Infarction #Clinical #Cardiology #EKG #Anterolateral #STEMI #ECGEducator
Extensive Anterolateral ... Myocardial Infarction #Clinical ... #Cardiology #EKG ... #Anterolateral ... #STEMI #ECGEducator
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
with probable inferior ... STEMI, but becomes ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Wraparound LAD on Cardiac Catheterization

Answer: Proximal β€œWraparound” LAD

Here’s a beautiful angiogram shot after reperfusion. Follow the
exactly why the ECG ... shows anterolateral ... AND inferior infarction ... Catheterization #CathLab #cardiology ... #clinical #fluoroscopy
β–Ί
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... Equivalents / Don't Miss Signs ... in avL - early inferior ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 β€’ Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG β€’ Conventional ... V2 β€’ Wellens sign ... pain β€’ Wellens sign ... #Equivalents #ECG ... #differential #cardiology
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... becoming acute anterior ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Hypertrophic Cardiomyopathy (HOCM) - EKG Characteristics
Typical EKG findings may include:
 β€’ Deep and narrow Q waves
Cardiomyopathy (HOCM) - EKG ... the lateral and inferior ... leads β€’ General signs ... #ecg #clinical ... #cardiology #electrocardiogram