Willy Frick
@willyhfrick
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Heart rhythm fellow. Medical educator. Also on the other network (BS) with the same handle.
St. Louis, MO
Joined February 2011
For anyone interested in learning more about angiography, come check out my introductory guide! Come see my annotated diagrams like the one shown below. https://t.co/IJTDAMNPfU
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Door-to-Balloon Time Outperforms ST-Segment Elevation in Predicting the STEMI vs. NSTEMI Final Diagnosis https://t.co/JGvulc6vG1. With @josenalencar @PendellM @willyhfrick @smithECGBlog #OcclusionMI
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After 30 years of primary PCI we now have an objective definition of the most common #ECG pattern of STEMI. Hyperacute T-waves specific for acute coronary occlusion now defined using #AI in @JACCJournals!
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What are hyperacute T waves, you ask? Right this way!
After 30 years of primary PCI we now have an objective definition of the most common #ECG pattern of STEMI. Hyperacute T-waves specific for acute coronary occlusion now defined using #AI in @JACCJournals!
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t+8 minutes is the same ECG as the first one in the thread, in case that was unclear.
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More info: Pt walking at home, abrupt fall with LOC, witnessed by wife who called 911. EMS found him dazed but conscious. While en route, "transport upgraded to urgent due to change in pt ECG, sudden increase in HR, drop of BP." First EMS ECG 1, t=0
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I don't understand this. It seems like SOME type of PMT (but not classic PMT or RNRVAS). Interrogation after "normal." @narrowQRS @SergioPinski @jeffrey_vinocur @AThomazAndrade @DidlakeDW @The_Nanashi_O @Arron_Pearce_ @syamkumarmd @DaveRichley @KostekMilan @SparkyDeviceRN
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Many clinicians mistakenly believe ACS is essentially a solved problem. A significant minority of patients with one of medicine’s most common and deadliest diseases are failed by our current standard of care. CC: @drjohnm
Failure of standard contemporary ST-elevation myocardial infarction electrocardiogram criteria to reliably identify acute occlusion of the left anterior descending coronary artery All were diagnosed on the first EKG by the @PMcardioApp
https://t.co/qxttXOOsWV
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Failure of standard contemporary ST-elevation myocardial infarction electrocardiogram criteria to reliably identify acute occlusion of the left anterior descending coronary artery All were diagnosed on the first EKG by the @PMcardioApp
https://t.co/qxttXOOsWV
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What's the best explanation for this? @syamkumarmd @The_Nanashi_O @DaveRichley @SergioPinski @Arron_Pearce_ @HansCHelseth @KostekMilan @ecgandrhythmRoe @ecgrhythms @AThomazAndrade @DidlakeDW
#EPeeps
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Got to close out my first audition rotation with an oral presentation, which felt like a good excuse to share some EKGs and pitch the OMI paradigm to the IM faculty, IM residents and EM-IM residents. Forgot how fun it is to present something I’m passionate about 🤩🫀
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I'm new to this. But looks like native tachycardia continues for three beats after the ATP sequence. Does that favor spontaneous termination?
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Open question for #EPeeps What do you think about ATP for PVT? Is this a successful ATP termination? Was the tachycardia going to spontaneously terminate? Patient has had multiple episodes of NSPVT. @SergioPinski @narrowQRS @jeffrey_vinocur @Toaster_Pastry @Hiren_PatelMD
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Additional question (not rhetorical), should procainamide be first line over amio? PROCAMIO was a win for patients withe hemodynamically tolerated VT. Any reason to think this does not also apply to less stable VT?
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