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

1) Upsloping
ECG Pattern STEMI ... 1) Upsloping ST ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Progression of EKG changes in ACS
 • Hyperacute T waves
 • ST depression and T waves
Progression of EKG ... • ST depression ... • ST elevation ... #ACS #ECG #electrocardiogram ... #Timeline #cardiology
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
V1-V4 without STE ... leads V1-V4 • STE ... #DeWinters #TWaves ... #EKG #ECG #diagnosis ... #cardiology #electrocardiogram
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
STEMI - look for ST ... - Upsloping ST ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #Electrocardiogram ... #diagnosis #cardiology
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
Electrocardiogram ... (EKG) Digoxin ... : - Scooping ST ... or biphasic T waves ... #EKG #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Discordance" = ST ... V1-V3 c) STE ... Diagnosis #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
Electrocardiographic Features of Digoxin Toxicity
 • Virtually any arrhythmia is possible. None specific for digoxin toxicity
" or "sagging" ST ... inverted/Biphasic T waves ... digitalis #Toxicity #Electrocardiogram ... #ekg #ecg #toxicology ... #cardiology #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... #Ischemia #ECG ... #electrocardiogram ... #cardiology #STEMI
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
without meeting ST ... • Hyperacute T Waves ... equivalent #diagnosis #cardiology ... #electrocardiogram ... #ecg #ekg
Benign Early Repolarization (BER) on EKG
 • Widespread concave STE most prominent in mid-to-left precordium (V2-V5)
Widespread concave STE ... : T-wave height ... No reciprocal STD ... #ECG #diagnosis ... #cardiology #electrocardiogram