17 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 ... #Electrocardiogram ... Diagnosis #Cardiology #Criteria
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... bigger than QRS - deWinter ... have no pain - LAD ... avR - proximal LAD ... #electrocardiogram
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
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before or after STEMI ... - look for ST ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG ... #Electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... Occlusion #Total #ECG ... #EKG #Electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Criteria - Tall ... aVR - “Normal” STEMI ... pattern #DeWinter ... #TWaves #ECG #EKG ... #Clinical #Electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... - Suspect STEMI ... > 1 mm in any lead ... #electrocardiogram ... #ecg #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
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
without meeting ST ... elevation criteria ... MyocardialInfarction #OMI #STEMI ... diagnosis #cardiology #electrocardiogram ... #ecg #ekg
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
combination of ST ... occur with subtle STE ... in 2% of acute LAD ... be considered a STEMI ... #ECG #DeWinters
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... • Sgarbossa criterion ... #Equivalents #ECG ... differential #cardiology #electrocardiogram