Thread by @EcgOxford

Dx? Culprit?
@MaruanCarlos @The_Nanashi_O @doctor_roig @ShariqShamimMD @UlhasDr @DidlakeDW @ecgrhythms @syamkumarmd @kkananura @DrRajeshG1 @DocNikko @AslangerE @PPodrid @Vadeboncoeur_Al @EF_Cardiaca @smithECGBlog @EM_RESUS @EMS12Lead @DruvBhagavan #EPeeps #MedEd #PMCardio

@MaruanCarlos @The_Nanashi_O @doctor_roig @ShariqShamimMD @UlhasDr @DidlakeDW @ecgrhythms @syamkumarmd @kkananura @DrRajeshG1 @DocNikko @AslangerE @PPodrid @Vadeboncoeur_Al @EF_Cardiaca @smithECGBlog @EM_RESUS @EMS12Lead @DruvBhagavan Dx: Anterior+ Inferolateral AMI ♦️10

Culprit answer was in V3 postulated by having Tombstone which usually comes with LAD+ RCA or LCX (transmural injury due to limited collateral flow)

ICA (IRA/Culprit): mLAD Occlusion+ dLCX severe stenosis

Post-PCI ECG 👇🏻+ Tombstone criteria

@MaruanCarlos @The_Nanashi_O @doctor_roig @ShariqShamimMD @UlhasDr @DidlakeDW @ecgrhythms @syamkumarmd @kkananura @DrRajeshG1 @DocNikko @AslangerE @PPodrid @Vadeboncoeur_Al @EF_Cardiaca @smithECGBlog @EM_RESUS @EMS12Lead @DruvBhagavan For other relative case (Anterior+Inferiolateral AMI) 👇🏻

https://twitter.com/EcgOxford/status/1537106408340082693?s=20&t=G8HFHg9OpvdPiJ_VS6RcuQ

@MaruanCarlos @The_Nanashi_O @doctor_roig @ShariqShamimMD @UlhasDr @DidlakeDW @ecgrhythms @syamkumarmd @kkananura @DrRajeshG1 @DocNikko @AslangerE @PPodrid @Vadeboncoeur_Al @EF_Cardiaca @smithECGBlog @EM_RESUS @EMS12Lead @DruvBhagavan For other ECGs having "Tombstone" Sign 👇🏻
(NB: Tombstone has 11% increased Risk of SCD in the first 2 years)

1️⃣

https://twitter.com/EcgOxford/status/1512372598776254464?s=20&t=N88TNQfJvIg0vkJ2eFahKw

@MaruanCarlos @The_Nanashi_O @doctor_roig @ShariqShamimMD @UlhasDr @DidlakeDW @ecgrhythms @syamkumarmd @kkananura @DrRajeshG1 @DocNikko @AslangerE @PPodrid @Vadeboncoeur_Al @EF_Cardiaca @smithECGBlog @EM_RESUS @EMS12Lead @DruvBhagavan 2️⃣

https://twitter.com/EcgOxford/status/1524324524866613248?s=20&t=N88TNQfJvIg0vkJ2eFahKw