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

1) Upsloping
Pattern STEMI ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... precordial leads #DeWinter ... Electrocardiogram #Diagnosis #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
0.5mm downgoing ST ... bigger than QRS - deWinter ... line; upsloping ST ... vessel disease - ST ... - R/S >1 or ST
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
before or after STEMI ... - look for ST ... waves - Upsloping ST ... segment - ST depression ... Team @FOAMfrat #DeWinter
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... : “Nonspecific ST ... Recognize this #ECG ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
RBBB normally has ST ... So ANY ST Elevation ... an isolectric ST ... STEMI Criteria misses ... #Clinical #Cardiology
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
urgent treatment, STEMI ... patients with ST ... : #Diagnosis #Cardiology ... #EKG #ECG #STElevation ... #STSegment #Differential
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
- Upsloping ST ... - Absence of ST ... precordial leads - ST ... aVR - “Normal” STEMI ... #Clinical #Electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... of ST segment at ... #Equivalents #ECG ... #differential # ... cardiology #electrocardiogram
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
combination of ST ... be considered a STEMI ... MusaSharkawi #Clinical ... #Cardiology #EKG ... #ECG #DeWinters
ECG pattern "de Winter"

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

#DeWinter #Pattern
Winter" (ST depression ... with upsloping ST ... hyperacute T-wave) #DeWinter ... electrocardiogram #cardiology ... #clinical