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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... elevation in aVR ... #TWaves #ECG #EKG ... Electrocardiogram #Diagnosis
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... before or after STEMI ... elevation in aVR ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... on ECG Diagnostic ... elevation in the ... aVR - “Normal” STEMI ... #TWaves #ECG #EKG
ECG characteristics in Brugada Syndrome
 a. Broad P wave with some PQ prolongation
 b. J point
in Brugada Syndrome ... Coved type ST segment ... elevation d. ... #Diagnosis #ECG ... #EKG #Brugada #
Brugada Syndrome - EKG Characteristics
Patients with Brugada have a pseudo-RBBB and persistent ST elevations in V1-V2.
Type
Brugada Syndrome ... Type 1: • ST elevations ... Type 2: • ST elevations ... #Syndrome #Types ... #ECG #diagnosis
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
Differential Diagnosis ... for ST Segment ... Elevations - ACUTE ... PACEMAKER) - BRUGADA ... SIGN (SYNDROME)
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... J point • De Winter ... syndrome - J-point ... V2 • Wellens sign ... #EKG #diagnosis
Brugada syndrome Types 1, 2 and 3

There are three types of ECG presentations, referred to as
Brugada syndrome ... The ST segment elevation ... syndrome, the ST ... #Diagnosis #ECG ... #EKG #Brugada #Syndrome
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STEMI: • Upsloping ... STE: "Pardee's sign ... are involved • Brugada ... #ST #STEMI #Segment
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 ... line; upsloping ST ... #EKG #diagnosis