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ecg ekg cardiology diagnosis clinical differential equivalents criteria elevation interpretation ischemia occlusion pattern rocketshaped segment stelevation stwaves
De Winter T Wave ECG Pattern STEMI Equivalent - Left anterior descending (LAD) occlusion 1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... precordial leads #DeWinter ... #TWaves #ECG #EKG ... #Electrocardiogram
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
De Winter T-Waves ... before or after STEMI ... - look for ST ... Team @FOAMfrat #DeWinter ... #Electrocardiogram
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... aVR - “Normal” STEMI ... or follow the deWinter ... pattern #DeWinter ... #Clinical #Electrocardiogram
ECG pattern "de Winter" (ST depression in V1-V6 with upsloping ST depression and a hyperacute T-wave) #DeWinter #Pattern
" (ST depression ... with upsloping ST ... a hyperacute T-wave ... ) #DeWinter # ... Pattern #electrocardiogram
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
new/old infarct STEMI ... 0.5mm downgoing ST ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... EKG #diagnosis #electrocardiogram
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... differential #cardiology #electrocardiogram
De Winter's T Waves Concerning for proximal LAD occlusion (Present in 2% of patients) • Upsloping ST-Depression
De Winter's T Waves ... • Upsloping ST-Depression ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... diagnosis #cardiology #electrocardiogram
ECGofTheDay - What is the most likely diagnosis? What is this finding called? ... The combination of
combination of ST ... rocket-shaped T waves ... be considered a STEMI ... Cardiology #EKG #ECG #DeWinters ... #STWaves #Occlusion
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 ... #STEMI #Segment ... cardiology #ecg #ekg #electrocardiogram
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