Anterior STEMI
Plan ?
#CardioTwitter

For Fellows. Patient with STEMI IW, lysed as he had no insurance for PCI, developed signs of right heart failure and hypotension. Enumerate all important findings you have noticed in this echo. What is the finding which you find it difficult to digest on hemodynamic basis?

What are the indications for immidiate reperfusion therapy in patients with STEMI?

Reperfusion therapy is recommended in all patients
with a working diagnosis of STEMI (persistent ST-segment elevation or equivalentsc) and symptoms
of ischaemia of ≤12 h duration.

Culprit artery 🫀?

#CardioTwitter #cardiovascular #CardioEd #cardiologist #EKG #ECG #STEMI #OMI #Paramedics #MedTwitter #medicalstudent #cardiology #CathLab

41 F w/ CP, STD Trop negative, LHC vasospasm and LAD bridging -med Rx

6m later p/w abd pain, transient STEMI EKG resolving in 5 min. HS Trop I 5k->7k. PLT 16k
D/c on med Rx.
TTE Normal

4w later p/w CP
Transient Stemi on EKG. Trop +
RX imdur 60
Amlodipine 10
Ranolazine500

الاسبرين في STEMI وقت ال loading dose = اربع حبات “٨١ مج'

الاسبرين في migraine attack = ١٢ حبة '٨١ مج'

اربع اضعاف !!

الطب غريب والله

In the same shift, you can resuscitate a critically ill patient who was found down without asking anyone for permission and also have a patient with a STEMI refuse a heart cath and leave AMA.

But what does this guy have to do with that?

Exactly 110 years ago today, the…

ليش مهم اذ جاني بيشنت STEMI
اعرف اي شريان تاجي مغلق من خلال ال ECG
علشان ياذيبان اذ جاك بيشنت inferior & right STEMI ماتعطيه NTG وتخليه يودع الملاعب

50 y/o, admited one week ago as a case of anterior STEMI, today presented with angina, prevoius ecg will be on the comments
-Echo :
Inferior wall hypokinesia
Septal wall hypokinesia
CPK normal today.

The current STEMI paradigm: Because STEMI criteria are not met, let's wait until the myocardium is dead!!

hqmeded-ecg.blogspot.com/2024/04/the-cu…

STEMI in a Large (6mm) vessel. Large thrombus burden and large residual plaque burden even post thrombectomy.

Ideally you want to #IVUS and size your stent 1:1 and avoid aggressive post-dilation not to overwhelm the microvasculature.

But the biggest coronary stent we have is

60 year old with chest pain, STEMI negative on 15 lead. What’s the diagnosis?
Jesse McLaren Stephen W. Smith Pendell Meyers
#ECG #EKG #FOAMed #MedEd #medstudent #paramedic #CardioTwitter

First patient randomized in the Copernican Trial in HCU Valladolid‼️
Already 4 patients included in 24hrs 😍
New paradigm in STEMI pts?🤩
Mario García Gómez P. E. García-Granja ResiSEC CardioResis Valladolid Carlos Cortés Jorge Sanz Sánchez Sara Blasco Turrión ACI-SEC: Hemodinamica Soc Esp Cardiología PCRonline 🫀

What a delight to have several #NGMCGME Cardiovascular Disease fellows at #ACC2024 , as well as PGY-2 Internal Medicine resident Dr. Hussain Majeed, who presented on a young woman's inferior STEMI case! Poster credits: Dr. Majeed, Dr. Sykalo (CV fellow), Dr. Asreb (CV fellow) and

Latest poll: With 800 responses from cardiologists, it appears ~2/3 would be willing to randomize into a trial like RECOVER-IV testing an Impella strategy vs control in STEMI with cardiogenic shock.

Classic AnteroLateral STEMI

🚑🚨 #RapidRecap STEMI. Early diagnosis and prompt transfer to PPCI are crucial. Minimising our on-scene time can positively influence patient outcomes, especially those with cardiogenic shock. Women may experience 10% longer at scene; consider STEMI early. &...prepare for VF.🚑🚨

A lady with previous PCI 7 months back came back with transeit inferior STEMI and CHB.
#Cardiology #cardiotwitter #IVUS

Anterior STEMI
#PPCI
#CardioTwitter

Is OMI an ECG Diagnosis? (STEMI certainly is!!)

hqmeded-ecg.blogspot.com/2024/04/is-omi…

Jesse McLaren