21 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
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
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion
unforgettable ECG ... patterns strongly ... #ECG #Patterns ... Occlusion #Wellens #DeWinter ... #Sgarbossa #STEMI
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
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De Winter T-Waves ... before or after STEMI ... - look for ST elevation ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
3 ECG patterns for ... without meeting ST elevation ... • De Winter's Pattern ... MyocardialInfarction #OMI #STEMI ... electrocardiogram #ecg
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
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