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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... #TWaves #ECG #EKG ... #Electrocardiogram ... Diagnosis #Cardiology #Criteria
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
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De Winter T-Waves ... before or after STEMI ... - Upsloping ST segment ... #TWaves #EKG #ECG ... #Electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... Criteria - Tall ... aVR - “Normal” STEMI ... #TWaves #ECG #EKG ... #Clinical #Electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... #EKG #diagnosis ... differential #cardiology #electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

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

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... STE: "Pardee's sign ... (Eiffel Tower sign ... STElevation #ST #STEMI ... #ekg #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #EKG #diagnosis ... #electrocardiogram
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
- Widespread T wave ... Normalization Spodick's sign ... Downsloping TP segments ... #ECG #electrocardiogram ... cardiology #diagnosis #clinical
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... elevation 2.5mm/S-wave ... #Modified #EKG ... #Electrocardiogram ... #Clinical #Cardiology