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

1) Upsloping
Equivalent - Left anterior ... 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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on EKG - Anterior ... - 2% of left anterior ... #TWaves #EKG #ECG ... #Electrocardiogram ... #diagnosis #cardiology
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
ST elevation in inferior ... supplying the inferior ... addition to the anterior ... #Clinical #EM #Cardiology ... #EKG #DeWinter
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
sign A - Biphasic anterior ... Deeply inverted anterior ... asymmetrical, broad-based anterior ... inversions in the anterior ... #EKG #diagnosis
Posterior ECG leads (V7-V9) are applied by moving V4-V6 to under the left scapula.Purpose: To detect
associated with inferior ... lateral wall AMI #EM ... #Cardiology #Posterior ... #EKG #Lead #Placement ... #ALiEM
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
artery (LMCA). left anterior ... aVR • Classic EKG ... #electrocardiogram ... #diagnosis #ekg ... #differential #cardiology
Sagittal / longitudinal view - Directional indicator: Pointed to anterior of patient (towards the ceiling) -
indicator: Pointed to anterior ... transvaginal exam #EM ... #Obgyn #Radiology ... #TransVaginal #POCUS ... #Orientation #ALiEM
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
bigger than QRS - deWinter ... in avL - early inferior ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Triage EKG (no prior ... See thread for POCUS ... inversions V1-V4 plus inferior ... #EKG #Electrocardiogram ... #clinical #cardiology
Proximal aorta transverse view demonstrating the inferior vena cava (ivc), the aorta (ao), the celiac trunk
demonstrating the inferior ... sign” #Clinical #EM ... #Radiology #Vasc ... #POCUS #Aorta # ... SplenicArtery #ALiEM