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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ST Elevation MI Criteria 
#Diagnosis #Cardiology #ECG #EKG #STEMI #STElevationMI #Criteria #FOAMCast
ST Elevation MI ... Criteria #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #STElevationMI ... #Criteria #FOAMCast
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 β€’ Posterior MI
meeting ST elevation criteria ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #cardiology #electrocardiogram ... #ecg #ekg
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
for diagnosing ... MI in LBBB or Pacemaker ... - Suspect STEMI ... #Checklist #EKG ... #cardiology #lbbb
STEMI Equivalents on ECG
 β€’ Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or 40-60 ms ... after) the J point ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
ECGs - Ischemia MI ... early inferior MI ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Pulmonary Embolism on POCUS Echocardiogram

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Embolism on POCUS Echocardiogram ... Triage EKG (no prior ... Sister had MI in ... Differential/diagnosis ... A4c #clinical #cardiology
β–Ί
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... electrocardiogram, MI ... PASP: pulmonary artery ... #Diagnosis #Cardiology ... Classification #Grades #Criteria
Coronary Artery Embolism - Etiology and Scoring
Etiology:
 β€’ Direct: Clot (LV thrombus, LAA Thrombus), Valve (Vegetation,
Coronary Artery ... TTE, TEE, CT or MRI ... #Embolism #diagnosis ... #differential # ... #cardiology
Focal Periphyseal Edema (FOPE lesion) - MSK Radiology
Imaging Findings:
 β€’ Arrows identifying the characteristic edema-like signal
FOPE lesion) - MSK ... Radiology Imaging ... (save $$) Differential ... #clinical #Radiology ... #diagnosis #msk
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 β€’
Pressures and Calculations ... mortality in inferior MI ... Ahmed Ghoneem, MD MSc ... #catheter #diagnosis ... #cardiology #swanganz