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

1) Upsloping
De Winter T Wave ... ) Upsloping ST elevation ... #TWaves #ECG #EKG ... #Electrocardiogram ... #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... - look for ST elevation ... #TWaves #EKG #ECG ... #Electrocardiogram ... #diagnosis #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V2 • Wellens sign ... deviation) • Acute ischemia ... #differential #cardiology ... #electrocardiogram
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Pericarditis on EKG ... - Widespread T wave ... Normalization Spodick's sign ... #ECG #electrocardiogram ... #cardiology #diagnosis
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 ... #ECG #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
of ST Segment Elevation ... STE: "Pardee's sign ... (Eiffel Tower sign ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
predictor of recurrent ischemic ... aVR • Classic EKG ... prominent terminal R wave ... #electrocardiogram ... #differential #cardiology
Intraoperative Cardiac Ischaemia - Guidelines for Crises in Anaesthesia

If the patient is unconscious, signs of cardiac
is unconscious, signs ... include: • ST elevation ... depression • T wave ... persistent ST elevation ... consultation with cardiology
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
(electrocardiogram ... coved ST-segment elevation ... • E: Epsilon Wave ... not have obvious ischemia ... #cardiology #differential