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

1) Upsloping
ECG Pattern STEMI ... Equivalent - Left anterior ... elevation in aVR ... #DeWinter #TWaves ... #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... before or after STEMI ... elevation in aVR ... FOAMfrat #DeWinter #TWaves ... #diagnosis #cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
without meeting ST ... elevation criteria ... • Hyperacute T Waves ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... in avL - early inferior ... #Ischemia #ECG ... electrocardiogram #cardiology
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Recognize this #ECG ... Hyperacute Inferior ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... STEMI - Elevation ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
So ANY ST Elevation ... have ’relative elevation ... STEMI Criteria misses ... Occlusion #Total #ECG ... #Clinical #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... anteroseptal and inferior ... #ST #STEMI #Segment ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
elevation in the ... segment elevation ... aVR - “Normal” STEMI ... #DeWinter #TWaves ... #ECG #EKG #Clinical
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
without typical inferior ... suggests CTI-independent ... Flutter #aflutter #ecg ... #ekg #electrocardiogram ... #cardiology #clinical