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

1) Upsloping
ECG Pattern STEMI ... descending (LAD) occlusion ... #TWaves #ECG #EKG ... #Electrocardiogram ... Diagnosis #Cardiology #Criteria
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
anterior descending occlusions ... before or after STEMI ... - look for ST ... #TWaves #EKG #ECG ... #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
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Coronary Artery Occlusion ... on ECG - aVR ... LeftMain #Coronary #Occlusion ... #Diagnosis #Electrocardiogram ... #Cardiology #Criteria
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
100% Acute LAD Occlusion ... 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
on ECG Diagnostic ... Criteria - Tall ... aVR - “Normal” STEMI ... #TWaves #ECG #EKG ... #Clinical #Electrocardiogram
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 ... #Ischemia #ECG ... #electrocardiogram
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
combination of ST ... occur with subtle STE ... be considered a STEMI ... #ECG #DeWinters ... #STWaves #Occlusion
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
for proximal LAD occlusion ... V1-V4 without STE ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... diagnosis #cardiology #electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... - Suspect STEMI ... #Sgarbossa #Criteria ... #electrocardiogram ... #ecg #cardiology