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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... 1 mm) 2) ST depressions ... precordial leads #DeWinter ... TWaves #ECG #EKG #Electrocardiogram
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... before or after STEMI ... segment - ST depression ... Team @FOAMfrat #DeWinter ... TWaves #EKG #ECG #Electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Upsloping ST segment depression ... aVR - “Normal” STEMI ... or follow the deWinter ... pattern #DeWinter ... EKG #Clinical #Electrocardiogram
ECG pattern "de Winter"

(ST depression in V1-V6 with upsloping ST depression and a hyperacute T-wave)

#DeWinter #Pattern
ECG pattern "de Winter ... " (ST depression ... with upsloping ST depression ... hyperacute T-wave) #DeWinter ... #Pattern #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
bigger than QRS - deWinter ... disease - ST depression ... - R/S >1 or ST depression ... isoeIectric in VI with depression ... EKG #diagnosis #electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... J point • De Winter ... aVR • Posterior STEMI ... differential #cardiology #electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
normally has ST Depression ... STEMI Criteria misses ... Total #ECG #EKG #Electrocardiogram
Major Depressive Disorder (MDD): Pathogenesis and Clinical Findings

Symptoms (included in DSM 5 criteria) - Present during
Major Depressive ... ) - Worse in winter ... MajorDepressiveDisorder #Depression ... Signs #Symptoms #Psychiatry
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
combination of ST depression ... referred to as the De Winter ... be considered a STEMI ... Cardiology #EKG #ECG #DeWinters
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Opposing leads ST depression ... • PR-segment depression ... STElevation #ST #STEMI ... cardiology #ecg #ekg #electrocardiogram