8 results
Patterns of Ischemia T-Waves on ECG

However, there are more kinds of ischemia than just STEMI and
Patterns of Ischemia ... T-Waves on ECG ... than just STEMI ... #EKG #NSTEMI #Ischemic ... #DeWinter #Wellens
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
ST segment elevation in acute myocardial ischemia

ST segment elevations with straight (horizontal, upsloping or downsloping) or
ST segment elevation ... ST segment elevations ... Concave ST segment elevations ... Diagnosis #Cardiology #ECG ... #EKG #STEMI #STElevation
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... 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 ... - ST segment elevation ... aVR - “Normal” STEMI ... or follow the deWinter ... pattern #DeWinter
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Miss Signs of Ischemia ... bigger than QRS - deWinter ... Wong @mchlwng #Ischemia ... #ECG #EKG #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... J point • De Winter ... deviation) • Acute ischemia ... #EKG #diagnosis
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Infarction  Ischemic ... Symptoms  EKG ... evidence of AMI (STEMI ... Cardiogenic #Shock #Algorithm