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

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

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
on ECG Diagnostic ... Criteria - Tall ... aVR - “Normal” STEMI ... pattern #DeWinter ... #TWaves #ECG #EKG
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... bigger than QRS - deWinter ... infarct - New tall ... #Ischemia #ECG ... #EKG #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... on ECG • Conventional ... J point • De Winter ... #Equivalents #ECG ... #EKG #diagnosis
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
A 12 lead EKG creates ... V4 sit over the anterior ... leads, again; all ... #EKG #diagram #Electrocardiogram ... #STEMI #Localization
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
“Mother of all ... old male with Anterior ... wall STEMI, in ... Cardiogenic shock, ECG
Common Vasopressors and Inotropes
Norepinephrine (NE)
 - Indication: Distributive shock (1st line for septic shock), Cardiogenic shock
is not desired (e.g ... is not desired (e.g ... Bradyarrhythmias, Some cases ... Can be used in all ... #pharmacology #criticalcare
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Diagnosis Framework STEMI ... STElevation #ST #STEMI ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
Posterior Reversible Encephalopathy Syndrome (PRES) Overview

Clinico-Radiological Syndrome, characterized by:
 • Headache
 • Seizures
 • Altered mental
bone marrow or stem ... on MRA/CTA • Anterior ... • EEG: With persistent ... the underlying cause ... with AEDs until cause