18 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 ... before or after STEMI ... 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 ... aVR - “Normal” STEMI ... pattern #DeWinter ... #TWaves #ECG #EKG ... #Clinical #Electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI
Cannon A Waves in AVNRT on Neck Physical Exam

69 year old female patient comes with a
Cannon A Waves in ... s the clinical sign ... regular cannon a waves ... #AVNRT #Neck #PhysicalExam ... #JVP #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... J point • De Winter ... V2 • Wellens sign ... pain • Wellens sign ... differential #cardiology #electrocardiogram
Giant A waves caused by pulmonary HTN. There are two clearly discernible descents (X and Y)
Giant A waves caused ... has Kussmaul's sign ... have elevated JVP ... #Giant #PHTN #JVP ... #Neck #PhysicalExam
Lancisi's Sign on Neck Examination in Severe Tricuspid Regurgitation

Semiology of severe tricuspid insufficiency : venous pulse
Lancisi's Sign on ... with “giant v” waves ... #Lancisis #Sign ... Regurgitation #Neck #JVP ... Clinical #Video #PhysicalExam
Cannon A waves during AVNRT on Physical Exam
In AVNRT, the atria and ventricles contract nearly simultaneously
transmitted to JV ... ’s called Frog sign ... #AVNRT #PhysicalExam ... #JVP #Cardiology ... #Neck #Frog #Sign
Abnormal Jugular Venous Pressure (JVP) Algorithm
Outward Wave / Peak
 • With Every Beat
Venous Pressure (JVP ... Algorithm Outward Wave ... Fusion of Lancisi Sign ... @saipeeps #JVP ... diagnosis #cardiology #physicalexam