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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... #TWaves #ECG #EKG ... Electrocardiogram #Diagnosis #Cardiology ... #Criteria
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... occlusions - De Winter ... before or after STEMI ... Team @FOAMfrat #DeWinter ... Electrocardiogram #diagnosis #cardiology
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... on ECG Diagnostic ... Criteria - Tall ... aVR - “Normal” STEMI ... #TWaves #ECG #EKG
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... asymmetrical, similar or bigger ... than QRS - deWinter ... T waves - starts ... electrocardiogram #cardiology
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
referred to as the De Winter ... ECG pattern. ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #DeWinters
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... • Sgarbossa criterion ... #Equivalents #ECG ... #differential #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... DCSI #Initiative #Management ... #Cardiology
Cardiac Event Monitoring Devices - Compared
Ambulatory ECG (Hotter):
 • Advantages: Continuous recording, records asx events, all
Compared Ambulatory ECG ... events, all (most) ECG ... Disadvantages: Short ... • Advantages: Longer ... #management #holter
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
nodes • Roth’s spots ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... Endocarditis #diagnosis #management ... #cardiology
Ventricular tachycardia (V-tach or VT) is a type of regular and fast heart rate that arises
result in problems, longer ... Short periods may ... #Clinical #MedStudent ... #Cardiology #EKG