Here is a fascinating EKG of a 70 years male who was gasping and was intubated I! What’s your take? #CardioTwitter #ECG #FOAMed Sam Ghali, M.D. Amal Mattu Stephen W. Smith Dr Razi 🫀EcgOxford ECGs Andreas Roeschl, MD Nanashī 🫀 Pendell Meyers the EMCrit Crew Faheem Younus, MD

62years female with chest pain for more than 14 hrs . Trops > 6000 and falling-off till 4800 . Culprit vessel? #Cardiotwitter
Siyab Panhwar, MD Dr Razi Suhayel Mir 🫀EcgOxford ECGWeekly Dr Shariq Shamim Sam Ghali, M.D. ECGWeekly ECGs Amal Mattu

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Culprit Vessel ?

#CardioTwitter
Dr Razi Sam Ghali, M.D. Amal Mattu Stephen W. Smith 🫀EcgOxford Reid Andreas Roeschl, MD Dr Shariq Shamim ECGs

Any interventional cardiologists who interpret this ECG and do not see a 100% occluded LAD, and do not perform a coronary angiogram emergently, should quit performing interventions.

52 years male with on & off chest pain for the past 12 hrs .Trops =240 .IC doesn’t want to cath him -Labelled NSTEMI ❤️
How sad that outdated STEMI approach blinds them to occlusive MI reality
#cardiotwitter Basit_Masoodi Suhayel Mir Stephen W. Smith Nanashī 🫀 Reid

What about this one ? #CardioTwitter #ecg
Andreas Roeschl, MD Reid Dr Razi Dr. Zafar Alam Warda Tajammal Elshod Jalolov 🫀EcgOxford Qaly | ECG Reader Ken Grauer, MD

In Emergency department
We, Unfortunately, not always manage to provide the care we should be providing.
#EDCrowding
It is good to still receive Compliments from our patients 🙏
Thank you Drparray Mohammad for providing Great care
Aaron Cummins Patient Experience UHMBT 🌻
Victoria Squires

Incredibly helpful and well-explained.I just wanted to add that while Doppler ultrasound is valuable, it's crucial to remember that a normal result doesn't always rule out testicular torsion. A thorough history and physical examination remain essential in the diagnostic process.

Please just watch and share the word - a paradigm shift is needed now!🫀

60 years male with 3 days hx of chest pain . Spo2 88% . No other clinical details provided . What do you say ? Aslanger or inferio posterior? Rv infarction #EKG #CardioTwitter Sam Ghali, M.D. Dr Razi Reid Stephen W. Smith Pendell Meyers Dr Shariq Shamim Andreas Roeschl, MD Amal Mattu

Ed dx :RCA OMI for urgent cath
Queens verdict :OMI .
Trops surged: 30→70→2170.
Cardio : NSTEMI not for urgent cath
Day 4 cath :critical RCA stenosis.
'Why delay cath when there's ongoing occlusion? Pendell Meyers Stephen W. Smith Sam Ghali, M.D. Dr Shariq Shamim Willy Frick Dr Razi

Diabetic,Hypertensive .Bp=180/100
No other clinical details provided .
Just a random ekg from primary care physician asking for advice #CardioTwitter #EmergencyMedicine #ecg #ekg
Sam Ghali, M.D. Willy Frick Dr Razi Amal Mattu Andreas Roeschl, MD