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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... ) Upsloping ST elevation ... precordial leads #DeWinter ... #TWaves #ECG #EKG
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
3 ECG patterns for ... (OMI) without meeting ... ST elevation criteria ... MyocardialInfarction #OMI ... #STEMI #equivalent
ST Elevation MI Criteria 
#Diagnosis #Cardiology #ECG #EKG #STEMI #STElevationMI #Criteria #FOAMCast
ST Elevation MI ... Diagnosis #Cardiology #ECG ... #EKG #STEMI #STElevationMI
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
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
- Ischemia MI ... = Biomarkers + ECG ... bigger than QRS - deWinter ... early inferior MI ... #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
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... look in occlusion MI ... ST elevations in ... frequently missed stemi ... Mid #Circumflex #STEMI
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