Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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 ... on EKG Pt required ... #STEMI #EKG #ECG ... #clinical #cardiology ... Electrocardiogram #Anterior
LAD STEMI on with Anterior Hypokinesis POCUS Echocardiogram

What's the diagnosis?? 63 year old with BP of
LAD STEMI on with ... What's the diagnosis ... #STEMI #Anterior ... Echocardiogram #clinical ... #cardiology
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Proximal LAD STEMI with Anterior Wall Akinesis on POCUS

If you have trouble appreciating regional wall motion
Proximal LAD STEMI ... with Anterior Wall ... , here is anterior ... Echocardiogram #PSAX #Cardiology ... #STEMI #Clinical
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
Dissection on POCUS ... hour, Ant/Sept STEMI ... on EKG. ... Echocardiogram #PSAX #Clinical ... #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 ... Wellens #Sign #EKG ... #Diagnosis #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... avR - proximal LAD ... in avL - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Block on EKG ... axis deviation (LAD ... Fascicular #Block #diagnosis ... #cardiology #EKG ... #labeled #clinical
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 ... #Cardiac #Catheterization ... #CathLab #cardiology ... #clinical #fluoroscopy
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
specific for a critical ... stenosis of the left anterior ... descending (LAD ... #EKG #ECG #Electrocardiogram ... #Diagnosis