11 results
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... - look for ST elevation ... - Upsloping ST segment ... #TWaves #EKG #ECG ... #cardiology
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... on ECG Diagnostic ... elevation (0.5mm ... 1mm) in aVR - “Normal ... #TWaves #ECG #EKG
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STE: "Pardee's sign ... • Epicardial artery ... of Normal Variant ... #diagnosis #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
(or 40-60 ms after ... J point • De Winter ... V2 • Wellens sign ... #EKG #diagnosis ... #differential #cardiology
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
Elevation of PR ... segment in aVR and ... becomes normal ... indefinitely inverted #Diagnosis ... #EM #IM #Cardiology
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Widespread ST elevation ... - Widespread T wave ... Normalization Spodick's sign ... Downsloping TP segments ... #cardiology #diagnosis
Vasospastic (Prinzmetal) Angina
Definition / Epidemiology:
 • Rest angina attributed to coronary artery vasospasm.
 • Patients often
• Normal exercise ... Variable troponin elevation ... Diagnosis: ... changes on tele/ECG ... Prinzmetal #Angina #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... in V1 - normal ... #EKG #diagnosis ... electrocardiogram #cardiology
Aortic Root Sign

The aortic root sign an anomalous circumflex coronary artery (ACCA) that emerges from the
circumflex coronary artery ... coronary sinus. and travels ... underneath the aorta ... supply blood to its normal ... #cardiology #diagnosis
Giant cell arteritis (GCA)

Giant cell arteritis (GCA) definition: Most common systemic inflammatory vasculitis in older adults
those coming off aorta ... systemic sx + signs ... 50 in GCA, but normal ... Sufficient segment ... GCA #Temporal #Signs