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

1) Upsloping
Winter T Wave ECG ... anterior descending (LAD ... 1) Upsloping ST ... DeWinter #TWaves #ECG ... #EKG #Electrocardiogram
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 ... @EM_RESUS #LAD ... Occlusion #Total #ECG ... #EKG #Electrocardiogram
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
= Biomarkers + ECG ... have no pain - LAD ... #Ischemia #ECG ... #EKG #diagnosis ... #electrocardiogram
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
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
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 #electrocardiogram
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
Circumflex STEMI on ECG ... how subtle an EKG ... ST elevations in ... Circumflex #STEMI #ECG ... #EKG #Electrocardiogram
EKG with Cerebral T Waves in Subarachnoid Hemorrhage

ECG of a 45-year-old man who suddenly collapsed to
EKG with Cerebral ... Subarachnoid Hemorrhage ECG ... These ECG changes ... There are ST deviations ... #EKG #Electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... aVR • Classic EKG ... #AVR #leadAVR #ecg ... #electrocardiogram ... #diagnosis #ekg