10 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 #Electrocardiogram
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 #Electrocardiogram
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 ... EKG #Clinical #Electrocardiogram
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 ... STEMI Criteria misses ... @EM_RESUS #LAD ... Total #ECG #EKG #Electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
bigger than QRS - deWinter ... have no pain - LAD ... avR - proximal LAD ... infarct, get a 15 lead ... EKG #diagnosis #electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... J point • De Winter ... aVR • Posterior STEMI ... differential #cardiology #electrocardiogram
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 ... #cardiology #electrocardiogram
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... ST elevations in ... frequently missed stemi ... Mid #Circumflex #STEMI ... #ECG #EKG #Electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
of ST Segment Elevation ... Diagnosis Framework STEMI ... ventricle pacing lead ... #ST #STEMI #Segment ... cardiology #ecg #ekg #electrocardiogram
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... complex 10 in lead ... V6 has ST elevation ... Modified #EKG #Electrocardiogram