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

1) Upsloping
Pattern STEMI ... descending (LAD) occlusion ... elevation in aVR ... #EKG #Electrocardiogram ... Diagnosis #Cardiology #Criteria
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Coronary Artery Occlusion ... on ECG - aVR ... > 1 mm - aVR ... #Diagnosis #Electrocardiogram ... #Cardiology #Criteria
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... without meeting ST ... elevation criteria ... MyocardialInfarction #OMI #STEMI ... diagnosis #cardiology #electrocardiogram
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 ... pattern of Acute RCA Occlusion ... Clinical #Cardiology #EKG ... #STEMI #InferoPosterior
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... 100% Acute LAD Occlusion ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... #Electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... in avR - Wellen's ... avR - proximal ... #electrocardiogram
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
Winter T-Waves on EKG ... anterior descending occlusions ... before or after STEMI ... elevation in aVR ... #ECG #Electrocardiogram
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
for proximal LAD occlusion ... in lead 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 ... Diagnosis #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
hour had a 100% occlusion ... ST elevations in ... leads 1 and avl ... with reciprocal st ... #ECG #EKG #Electrocardiogram