11 results
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 ... on EKG - Anterior ... before or after STEMI ... #TWaves #EKG #ECG ... #Electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... aVR - “Normal” STEMI ... pattern #DeWinter ... #TWaves #ECG #EKG ... #Clinical #Electrocardiogram
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... That’s called Frog ... sign! ... #AVNRT #PhysicalExam ... #Sign
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 ... from ST-segment ... differential #cardiology #electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
atrial injury from ... prominent terminal R wave ... ) from supraventricular ... tachycardia (SVT ... #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
big R or R/S>I STEMI ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #EKG #diagnosis ... #electrocardiogram
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 in some ... consistent with SVT ... @EM_RESUS #AVRT ... #ECG #Electrocardiogram
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
- Brugada's sign ... - The distance from ... - Josephson's sign ... #ekg #cardiology ... #diagnosis #electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Fusion: odd QRS from ... different QRS from ... Discordance" = ST ... Criteria - Suspect STEMI ... #electrocardiogram