Morning emergencies when you're just about to get ready make it very hectic. A quick revision of the heart diagram with son who has a science review today, no bath, quickly get ready and leave ASAP. #hecticmorning #cardiologistlife

An Anterior wall STEMI. 47 year old lady, has come within 3 hours of onset of chest pain. Angio showed mid LAD thrombotic occlusion. Primary PCI to LAD done successfully. #PrimaryPCI #HeartAttack

Reperfusion ASAP is the goal of STEMI treatment. #STEMI

https://www.ahajournals.org/doi/10.1161/JAHA.119.012188 - door to balloon time .. time from arrival of STEMI pt to ER to first ballooning of block in Cath lab To be less than 90min (to keep as less as possible) nowadays this is being replaced by first medical contact to balloon time. #doortoballoon

So when you're working in ER and the Cardiology team is hurrying you to shift patient ASAP.. They're just not impatient but are aiming for the shortest Door to balloon time and are worried about the patient throwing a VT or VF! #CardioTwitter

@serioustaurean @HaryaxPathak @Selkrish98 @cardio_gotya @drsnehilmishra @ShariqShamimMD @aproudempath @Dharmen46587056 @abhinavprakash5 @kamdar_j

@vedvyazz ER

Pre and Post PCI ECG - Note the >70% ST resolution indicating optimal myocardial perfusion.

Of all the investigations practically possible in a immediate post STEMI patient, a 12 lead ECG is the best indicator because it indicates tissue level perfusion and integrity of microcirculation. https://ecgwaves.com/topic/the-ecg-in-assessment-of-reperfusion/