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

1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... precordial leads #DeWinter ... #TWaves #ECG #EKG ... Electrocardiogram #Diagnosis #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... bigger than QRS - deWinter ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
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on EKG - Anterior ... before or after STEMI ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG ... Electrocardiogram #diagnosis #cardiology
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
ECG pattern. ... in 2% of acute LAD ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #DeWinters
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 ... InferoPosterior transmural ischemia ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
Concerning for proximal LAD ... in lead aVR ± aVL ... #DeWinters # ... TWaves #EKG #ECG ... #diagnosis #cardiology
ST segment elevation in acute myocardial ischemia

ST segment elevations with straight (horizontal, upsloping or downsloping) or
ST segment elevation ... less likely to be caused ... the underlying cause ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... STEMI Criteria misses ... Occlusion #Total #ECG ... #EKG #Electrocardiogram ... #Clinical #Cardiology
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... specificity for EKG ... EKG is helpful in ... evaluating for other causes ... in relation to ECG
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Suspect STEMI ... > 1 mm in any lead ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg ... #cardiology #lbbb