10 results
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... ST elevation in aVR ... #TWaves #ECG #EKG ... Electrocardiogram #Diagnosis
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... before or after STEMI ... ST elevation in aVR ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... on ECG Diagnostic ... (0.5mm-1mm) in aVR ... - “Normal” STEMI ... #TWaves #ECG #EKG
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... leads with STE in avR ... inversion - STE avR ... #EKG #diagnosis
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
De Winter's T Waves ... • STE in lead aVR ... ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
the most likely diagnosis ... subtle STE in aVR ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #DeWinters
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... ST elevation in aVR ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Framework STEMI ... STE: "Pardee's sign ... depression in aVR ... depression in aVR ... #cardiology #ecg
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... depression; In aVR ... - Widespread T wave ... Normalization Spodick's sign ... #cardiology #diagnosis
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
is positive in aVR ... - Brugada's sign ... VT #VTach #SVT #Comparison ... #ekg #cardiology ... #diagnosis #electrocardiogram