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

1) Upsloping
Winter T Wave ECG ... anterior descending (LAD ... DeWinter #TWaves #ECG ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... with 100% Acute LAD ... Occlusion #Total #ECG ... #EKG #Electrocardiogram ... #Clinical #Cardiology
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 #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #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 ... evaluating for other causes ... in relation to ECG ... AcutePE #diagnosis #cardiology
ST depression & T wave inversion causes #Pathophys #Diagnosis #Cardiology #MedStudent #EKG #Differential #TWI #STD #TWaveInversion
ST depression & ... wave inversion causes ... Pathophys #Diagnosis #Cardiology ... #MedStudent #EKG ... Differential #TWI #STD
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
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Wellens Syndrome on EKG ... of the proximal LAD ... - Isoelectric ST ... Wellens #Syndrome #EKG ... #ecg #cardiology
ST segment elevation in acute myocardial ischemia

ST segment elevations with straight (horizontal, upsloping or downsloping) or
less likely to be caused ... American and European guidelines ... the underlying cause ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
> 1 mm in any lead ... wave > 25% in any lead ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg ... #cardiology #lbbb
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... long QT via long ST ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology