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

1) Upsloping
ECG Pattern STEMI ... ) Upsloping ST elevation ... in aVR (>= 1 mm ... #DeWinter #TWaves ... #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
before or after STEMI ... - look for ST elevation ... in aVR (0.5-1mm ... FOAMfrat #DeWinter #TWaves ... #diagnosis #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... elevation in aVR ... : Differential diagnosis ... #AVR #leadAVR #ecg ... #ekg #differential
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... in aVR • Posterior ... V2 • Wellens sign ... #EKG #diagnosis ... #differential #
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
depression in aVR ... depression in aVR ... blocking drugs #STElevation ... #Elevation #differential ... #diagnosis #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... leads with STE in avR ... inversion - STE avR ... #EKG #diagnosis ... Interpretation #differential
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
on ECG Diagnostic ... (0.5mm-1mm) in aVR ... - “Normal” STEMI ... #DeWinter #TWaves ... #ECG #EKG #Clinical
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
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
depression in aVR ... Elevation of PR ... segment in aVR and ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology
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