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

1) Upsloping
ECG Pattern STEMI ... descending (LAD) occlusion ... ) Upsloping ST elevation ... precordial leads #DeWinter ... #TWaves #ECG #EKG
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion
patterns strongly ... #ECG #Patterns ... #Coronary #Occlusion ... #Wellens #DeWinter ... #Sgarbossa #STEMI
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
3 ECG patterns for ... Acute Occlusion ... without meeting ST elevation ... • De Winter's Pattern ... MyocardialInfarction #OMI #STEMI
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
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anterior descending occlusions ... before or after STEMI ... - look for ST elevation ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG
Patterns of Ischemia T-Waves on ECG

However, there are more kinds of ischemia than just STEMI and
Patterns of Ischemia ... ischemia than just STEMI ... of even normal ECGs ... #EKG #NSTEMI #Ischemic ... Ischemia #TWaves #DeWinter
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Absence of ST elevation ... - ST segment elevation ... aVR - “Normal” STEMI ... or follow the deWinter ... pattern #DeWinter
Owing to the morbidity and need for urgent treatment, STEMI is the default diagnosis is patients
urgent treatment, STEMI ... patients with ST elevations ... features of the EKG ... #ECG #STElevation ... #Differential #Patterns
ST segment elevation in acute myocardial ischemia

ST segment elevations with straight (horizontal, upsloping or downsloping) or
ischemia ST segment elevations ... Concave ST segment elevations ... Diagnosis #Cardiology #ECG ... #EKG #STEMI #STElevation ... #Ischemic #Patterns
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
100% Acute LAD Occlusion ... So ANY ST Elevation ... have ’relative elevation ... STEMI Criteria misses ... #Total #ECG #EKG
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... segment is the only ECG ... predictive of occlusion ... #Differential #Algorithm ... #cardiology #occlusionMI