@ecgandrhythmRoe LAD OMI with bifascicular block and ischemic ventricular bigeminy

@ecgandrhythmRoe @EcgOxford @DrRazi4 @PendellM @RobertHermanMD @Arron_Pearce_ @ECGwithReid @EM_RESUS Answer: anterior OMI with cardiogenic shock 🚨 Coronary angio showed severe 3-vessel disease with occlusion of pLAD, subtotal occlusion of mid CX, and CTO of pRCA and DA1. Despite quick and easy revascularization of pLAD and CX lesion, Impella insertion was needed.

@ecgandrhythmRoe @EcgOxford @DrRazi4 @PendellM @RobertHermanMD @Arron_Pearce_ @ECGwithReid @EM_RESUS Answer: Coronary 3-vessel disease with type II myocardial infarction in context of hemorrhagic shock 🚨 Patient had deep cutting injuries on both upper extremities. Coronary angio showed severe 3-vessel disease which would be treated via CABG after recovery.

83yo female Dizziness Dx? Rhythm? @ecgandrhythmRoe @EcgOxford @DrRazi4 @PendellM @RobertHermanMD @Arron_Pearce_ @ECGwithReid @EM_Resus @PMcardioBot #ECG #CardioTwitter #MedTwitter #Me3X

@ecgandrhythmRoe @EcgOxford @DrRazi4 @PendellM @RobertHermanMD @Arron_Pearce_ @ECGwithReid @EM_RESUS Answer: high lateral OMI 🚨 The patient was taken to the cath lab where an occlusion of a large MA2 was shown. The small MA1 was also shown to have thrombus. MA2 was successfully treated with DES, while MA1 was treated with DCB.

@DrRazi4 @ecgandrhythmRoe @EcgOxford @PendellM @RobertHermanMD @Arron_Pearce_ @ECGwithReid @EM_RESUS What‘s your rationale in suspecting LCx/OM1 involvement by just looking at the ECG? Because of subtle STD in V1-4? Because again, you‘re completely right!

2) Coronary angiography reveiled a severe bifurcation lesion LAD/DA1 which was succesfully treated with DES. Additionally, severe stenosis of MA1 was seen but treated conservatively, because of its smaller size.

@praneet_manekar @DrRazi4 @ecgandrhythmRoe @Hragy @UlhasDr @DrRajeshG1 Looks like deWinter T Waves to me, would rule out CAD and ACS if in doubt, do you have an Echo?

@ecgandrhythmRoe @EcgOxford @DrRazi4 @PendellM @RobertHermanMD @Arron_Pearce_ @ECGwithReid @EM_RESUS Answer: high lateral OMI with reperfusion 🚨 Coronary angio reveiled subtotal instent restenosis of DA1. Additionally, subtotal occlusion of R-PDA was reveiled. ISR was successfully treated with a DCB, R-PDA lesion was stented with TIMI 3 flow.

@ecgandrhythmRoe @MergencyFe @andreaskardio @Herzspitze @LiffersGert @fbalex19071 @SwissHeartDoc @moflsis @diggewitz @MachereyMeyer @WeyandSebastian @IrmaMDv @doc_ecmo @frollein_doktor @EPWaveDoc Antidromic AVRT?

@ecgandrhythmRoe @EcgOxford @DrRazi4 @PendellM @RobertHermanMD @Arron_Pearce_ @ECGwithReid @EM_RESUS Answer: inferoposterior OMI with 2:1 Block and 2° AV block Mobitz Type I 🚨 Echo showed reduced LVEF (45%) with inferoposterior RWMA. Coronary angiography revealed thrombotic occlusion of mid RCA which was succesfully treated and a provisional pace maker was implanted.

@DrRazi4 @ecgandrhythmRoe @EcgOxford @PendellM @RobertHermanMD @Arron_Pearce_ @ECGwithReid @EM_RESUS You were spot on, I‘d say 😉