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

1) Upsloping
ECG Pattern STEMI ... ST elevation in aVR ... precordial leads #DeWinter ... Electrocardiogram #Diagnosis ... #Cardiology #Criteria
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
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before or after STEMI ... ST elevation in aVR ... #TWaves #EKG #ECG ... Electrocardiogram #diagnosis ... #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
bigger than QRS - deWinter ... leads with STE in avR ... inversion - STE avR ... #EKG #diagnosis ... electrocardiogram #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 ... #EKG #diagnosis ... #differential #cardiology
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... depression; In aVR ... Normalization Spodick's sign ... #Pericarditis #EKG ... #cardiology #diagnosis
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
• STE in lead aVR ... ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology
Intraoperative Circulatory Embolus - Guidelines for Crises in Anaesthesia
Causes: thrombus, fat, amniotic fluid, air/gas.
Signs: hypotension, tachycardia,
amniotic fluid, air ... Signs: hypotension ... plasmaphoresis Box D: AIR ... Discontinue source of air ... attempt to aspirate air
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
is positive in aVR ... - Brugada's sign ... - Josephson's sign ... #ekg #cardiology ... #diagnosis #electrocardiogram
Pertinent Chest x-ray Findings in the Trauma Patient and Implications
Respiratory distress without x-ray findings - Central
pneumothorax or air ... chest (loculated air ... abdominal viscus #cxr ... chestxray #trauma #diagnosis ... #signs #radiology