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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ecg diagnosis differential equivalents lad wellens aflutter angiogram anterior arrest artery atrial cathlab classification coronary counterclockwise embolism fluoroscopy flutter hyperkalemia
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 ... #EKG #ECG #clinical ... #cardiology #Electrocardiogram ... #Anterior
ECG of a 32-year-old lady with chest pain. Cath showed 100% proximal LAD Occlusion.
lady with chest pain ... people with chest pain ... #EKG #STEMI #Clinical ... #ECG #EKG #Electrocardiogram ... #Cardiology
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
Typical (Counterclockwise) and Reverse Typical (Clockwise) Atrial Flutter on EKG Typical (Counterclockwise) Atrial Flutter • Inferior leads:
Atrial Flutter • Inferior ... Atrial Flutter • Inferior ... #ekg #electrocardiogram ... #cardiology #clinical ... #diagnosis #comparison
Wellens' Sign: LAD-T Wave Inversion Life threatening T wave inversions in precordial leads. Often V2-V3 Specific
Specific for critical ... becoming acute anterior ... without chest pain ... #ECG #Electrocardiogram ... #Diagnosis #Cardiology
Wellen's Syndrome Type A - Biphasic T wave Type B - Deeply inverted T wave
specific for a critical ... stenosis of the left anterior ... artery • May be pain ... Classification #Types #Cardiology ... #EKG #ECG #Electrocardiogram
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
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
-4 can have no pain ... in avL - early inferior ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Left Main Coronary Artery Thrombus seen on Angiography “Mother of all coronary thrombi”. 55 year old
wall STEMI, in ... Cardiogenic shock, ECG ... established, but died on table ... Angiogram #CathLab #clinical ... #cardiology #fluoroscopy
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 STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
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