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

1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... ) Upsloping ST elevation ... precordial leads #DeWinter ... #TWaves #ECG #EKG
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... before or after STEMI ... - look for ST elevation ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Absence of ST elevation ... aVR - “Normal” STEMI ... or follow the deWinter ... pattern #DeWinter ... #TWaves #ECG #EKG
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... So ANY ST Elevation ... have ’relative elevation ... STEMI Criteria misses ... @EM_RESUS #LAD
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... bigger than QRS - deWinter ... have no pain - LAD ... avR - proximal LAD ... #Ischemia #ECG
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... on ECG • Conventional ... STEMI - Elevation ... J point • De Winter ... #Equivalents #ECG
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
referred to as the De Winter ... ECG pattern. ... in 2% of acute LAD ... be considered a STEMI ... #ECG #DeWinters
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... on ECG This ... ST elevations in ... frequently missed stemi ... Mid #Circumflex #STEMI
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... rhythm with ST elevations ... all wraparound LAD ... #STEMI #EKG #clinical ... electrocardiogram #ecg
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... ventricle pacing lead ... #ST #STEMI #Segment ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram