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

1) Upsloping
ECG Pattern STEMI ... ) Upsloping ST elevation ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
before or after STEMI ... - look for ST elevation ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #Electrocardiogram ... #diagnosis #cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
without meeting ST elevation ... • Hyperacute T Waves ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology ... #electrocardiogram
Hypothermia on EKG
 • J (Osborn) waves
 • PR, QRS, and QT prolongation
 • Various bradyarrythmias
Hypothermia on EKG ... EricsMedicalLectures/ #Hypothermia ... #EKG #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
Inverted P Waves:
(A) Ectopic atrial rhythm
(B) Junctional rhythm 

#Inverted #PWaves #cardiology #diagnosis #ekg #ecg #electrocardiogram #differential
Inverted P Waves ... #cardiology #diagnosis ... #ekg #ecg #electrocardiogram ... #differential # ... clinical
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
Etiology • Hypothermia ... fibrillation Clinical ... #Diagnosis #Differential ... #Cardiology #EKG ... #ECG #Hypothermia
De Winter T Wave on ECG

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

Remember that RBBB normally has ST
So ANY ST Elevation ... have ’relative elevation ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential ... Diagnosis Framework STEMI ... be seen in: • Hypothermia ... #Elevation #differential ... #ecg #ekg #electrocardiogram