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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... DeWinter #TWaves #ECG ... #Diagnosis #Cardiology ... #Criteria
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... asymmetrical, similar or bigger ... deWinter T waves - starts ... electrocardiogram #cardiology
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 ... #diagnosis #management ... #cardiology
Endocarditis - Overview and Differential Diagnosis Framework

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV
Endocarditis - Overview ... nodes • Roth’s spots ... → TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... Differential #Diagnosis #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
Mycoses

HISTOPLASMOSIS
• Inhalation of conidia → Yeast → travel to lymph nodes → spread in body
• Bird
Inhalation of spores ... Hematopoietic stem ... arthritis, and endocarditis ... scalp, vagina, fingers ... Fungal #Diagnosis #Management