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

1) Upsloping
De Winter T Wave ... elevation in aVR ... 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 ... on EKG - Anterior ... elevation in aVR ... #TWaves #EKG #ECG ... #Electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... tachycardia ddx: AVNRT ... #electrocardiogram ... #diagnosis #ekg ... #differential #
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... (0.5mm-1mm) in aVR ... pattern #DeWinter ... #TWaves #ECG #EKG ... #Clinical #Electrocardiogram
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
AVNRT on Physical ... Exam In AVNRT, ... EKG of the same ... excludes other differentials ... #AVNRT #PhysicalExam
Supraventricular Tachycardia EKG

Here’s a great ECG case of a 50-year-old lady who presented with palpitations

Her heart
distinguishing QRS from T wave ... consistent with SVT ... @EM_RESUS #AVRT ... #SVT #Supraventricular ... #ECG #Electrocardiogram
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
• Upsloping ST-Depression ... • STE in lead aVR ... ± aVL #DeWinters ... #TWaves #EKG #ECG ... diagnosis #cardiology #electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... elevation in aVR ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
is positive in aVR ... - Brugada's sign ... - Josephson's sign ... #ekg #cardiology ... #diagnosis #electrocardiogram
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 ... leads with STE in avR ... #electrocardiogram ... Interpretation #differential