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

1) Upsloping
ECG Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... ST elevation in aVR ... precordial leads #DeWinter
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... STEMI - look for ... ST elevation in aVR ... Team @FOAMfrat #DeWinter ... Electrocardiogram #diagnosis #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
bigger than QRS - deWinter ... - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology ... Interpretation #differential
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... main coronary artery ... (LMCA). left anterior ... #differential # ... cardiology
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Pulmonary Embolism ... Differential/diagnosis ... leads (II, III, AVF ... #Embolism #ECG ... #clinical #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
at (or 40-60 ms after ... J point • De Winter ... ST elevation in aVR ... #differential # ... cardiology #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
depression in aVR ... QRS complex Pulmonary ... Embolism: • T-wave ... • Epicardial artery ... #diagnosis #cardiology
Right Heart Catheterization - Pulmonary Artery Pressures and Calculations
PULMONARY VASCULAR RESISTANCE = (meanPAP-PCWP) / CO
 •
Artery Pressures ... ARTERY PULSATILITY ... in-hospital mortality in inferior ... consumption) can lead ... #diagnosis #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
Cerebral > Splenic, pulmonary ... occlusion that may lead ... Marantic (NTBE) Differential ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
- Overview and Differential ... Cerebral > Splenic, Pulmonary ... ↑ ESR, CRP • EKG ... #Endocarditis #Differential ... #Diagnosis #cardiology