11 results
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... OMI - 2% of left ... before or after STEMI ... #TWaves #EKG #ECG ... #Electrocardiogram
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
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
(OMI) without meeting ... MyocardialInfarction #OMI ... #STEMI #equivalent ... diagnosis #cardiology #electrocardiogram ... #ecg #ekg
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
aVR - “Normal” STEMI ... or follow the deWinter ... pattern #DeWinter ... #TWaves #ECG #EKG ... #Clinical #Electrocardiogram
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI ... Algorithm The ... segment is the only ECG ... EMNews #ACS #OMI ... #Algorithm #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
ECGs - Ischemia MI ... bigger than QRS - deWinter ... early inferior MI ... #EKG #diagnosis ... #electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... J point • De Winter ... #EKG #diagnosis ... differential #cardiology #electrocardiogram
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Ischemic Symptoms  EKG ... biomarker evidence of AMI ... (STEMI or NSTEMI ... Cardiogenic #Shock #Algorithm
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... look in occlusion MI ... frequently missed stemi ... Mid #Circumflex #STEMI ... #ECG #EKG #Electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
for diagnosing MI ... Criteria - Suspect STEMI ... Diagnosis #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology