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

1) Upsloping
ECG Pattern STEMI ... elevation in aVR ... #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 ... elevation in aVR ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #Electrocardiogram ... #diagnosis #cardiology
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
for ST Segment ... Elevations - ACUTE ... HIGH VOLTAGE) - HYPOTHERMIA ... #STEMI #Differential ... #Diagnosis #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... • Posterior STEMI ... EKG #diagnosis #differential ... #cardiology #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Elevation - Differential ... be seen in: • Hypothermia ... #ST #STEMI #Segment ... #Elevation #differential ... #ecg #ekg #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 ... #electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
elevation in the ... 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 ... Total #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
0.5mm downgoing ST ... line; upsloping ST ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI ... Interpretation #differential
ELEVATION Mnemonic for Causes of ST Segment Elevation

E - Electrolyte Abnormalities
L - Left Bundle Branch Block
E
) O - Osborne Wave ... (Hypothermia) ... #Mnemonic #Cardiology ... #ST #Elevation ... #STElevation #Differential