11 results
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... T waves may come ... Team @FOAMfrat #DeWinter ... #Electrocardiogram ... #diagnosis #cardiology
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
QRS complexes at ... - Brugada's sign ... #Comparison #VentricularTachycardia ... Versus #ecg #ekg #cardiology ... #diagnosis #electrocardiogram
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
at J Point in leads ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology ... #electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
segment at (or ... J point • De Winter ... V2 • Wellens sign ... #differential #cardiology ... #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
STE: "Pardee's sign ... , with a notch at ... (Eiffel Tower sign ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
0.5mm downgoing ST ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
Multifocal atrial rhythm ... #MAT #Multifocal ... #tachycardia #cardiology ... diagnosis #ekg #electrocardiogram ... #clinical #comparison
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
atrial tachycardia (MAT ... 3 different P waves ... arrest - escape rhythms ... EKG #diagnosis #electrocardiogram ... #cardiology #differential
The 4 Variants of Sinus Arrhythmia
Phasic Sinus Arrhythmia:
 • The rate increases with respiration and decreases
is gradual and rhythmic ... intervals vary at ... Sinus #Arrhythmia #cardiology ... diagnosis #ekg #ecg #electrocardiogram ... variants #clinical #comparison
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
Multifocal Atrial Rhythm ... of a variable P-wave ... wap #diagnosis #cardiology ... #ekg #ecg #electrocardiogram ... #comparison