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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 ... 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 ... - look for ST elevation ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG ... #Electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... Absence of ST elevation ... pattern #DeWinter ... #TWaves #ECG #EKG ... #Clinical #Electrocardiogram
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 ... #differential # ... cardiology #electrocardiogram
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Widespread ST elevation ... depression and PR elevation ... - Widespread T wave ... Normalization Spodick's sign ... #ECG #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential ... STE: "Pardee's sign ... (Eiffel Tower sign ... #differential # ... #ekg #electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
: Differential diagnosis ... overdose: Prominent R wave ... prominent terminal R wave ... #electrocardiogram ... #differential #
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 ... #EKG #diagnosis ... #electrocardiogram ... Interpretation #differential
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
EKG of the same ... excludes other differentials ... ’s called Frog sign ... #AVNRT #PhysicalExam ... Cardiology #Neck #Frog #Sign
This infographic provides a mnemonic tool called “WOBBLER” for assessing an ECG (electrocardiogram) in cases of
(electrocardiogram ... interval and a delta wave ... coved ST-segment elevation ... • E: Epsilon Wave ... #cardiology #differential