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

1) Upsloping
ECG Pattern STEMI ... Equivalent - Left anterior ... precordial leads #DeWinter ... Electrocardiogram #Diagnosis ... #Cardiology #Criteria
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... STEMI - look for ... Team @FOAMfrat #DeWinter ... Electrocardiogram #diagnosis ... #cardiology
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
with probable inferior ... STEMI, but becomes ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia ... #VT
Transducer location to evaluate the femoral vein and normal ultrasound images showing common femoral artery (A)
common femoral artery ... #Clinical #Diagnosis ... #EM #Radiology ... #Vasc #POCUS #DVT
Transducer location to evaluate the popliteal vein and normal ultrasound images showing popliteal artery (A) and
showing popliteal artery ... #Clinical #Diagnosis ... #EM #Radiology ... #Vasc #POCUS #DVT
Positive DVT study showing thrombus in the femoral vein (v), adjacent to the femoral artery (a)
Positive DVT study ... to the femoral artery ... #Clinical #Diagnosis ... #EM #Radiology ... #Vasc #POCUS #DVT
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
lateral leads, also diagnostic ... of STEMI. ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... bigger than QRS - deWinter ... in avL - early inferior ... #EKG #diagnosis ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... at (or 40-60 ms after ... J point • De Winter ... #EKG #diagnosis ... #differential #cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
old male with Anterior ... wall STEMI, in ... Cardiogenic shock, ECG ... in shock with VT ... CathLab #clinical #cardiology