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

1) Upsloping
ECG Pattern STEMI ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... #ECG #EKG #Electrocardiogram ... Diagnosis #Cardiology #Criteria
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
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... new/old infarct STEMI ... big R or R/S>I STEMI ... #electrocardiogram
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
without meeting ST ... elevation criteria ... • Hyperacute T Waves ... MyocardialInfarction #OMI #STEMI ... diagnosis #cardiology #electrocardiogram
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
before or after STEMI ... - look for ST ... - Upsloping ST ... segment - ST depression ... #EKG #ECG #Electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... V6 • Sgarbossa criterion ... • Sgarbossa criterion ... #Equivalents #ECG ... differential #cardiology #electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Criteria - Tall ... aVR - “Normal” STEMI ... #DeWinter #TWaves ... #ECG #EKG #Clinical ... #Electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... RBBB normally has ST ... an isolectric ST ... STEMI Criteria misses ... #EKG #Electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Diagnosis Framework STEMI ... #STEMI #Segment ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram
Isthmus Independent Atrial Flutter
 • Rapid atrial activity without typical inferior sawtooth waves suggests CTI-independent flutter
inferior sawtooth waves ... suggests CTI-independent ... • Negative F waves ... Flutter #aflutter #ecg ... #ekg #electrocardiogram