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

1) Upsloping
De Winter T Wave ... descending (LAD) occlusion ... ) Upsloping ST elevation ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... anterior descending occlusions ... - look for ST elevation ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #Electrocardiogram
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
patterns for Acute Occlusion ... without meeting ST elevation ... • Hyperacute T Waves ... @jonnywatt #Occlusion ... diagnosis #cardiology #electrocardiogram
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Coronary Artery Occlusion ... aVR ST segment elevation ... > ST segment elevation ... LeftMain #Coronary #Occlusion ... EKG #Diagnosis #Electrocardiogram
Progression of EKG changes in ACS
 • Hyperacute T waves
 • ST depression and T waves
• Hyperacute T waves ... depression and T waves ... changes • ST elevation ... • T wave changes ... EKG #ACS #ECG #electrocardiogram
Progression of EKG changes in Acute Coronary Syndrome (ACS)
Hyperacute T waves:
 • Broad-based and symmetrical, usually
) Hyperacute T waves ... depression and Twave ... /S ratio >1 ST elevation ... : • New ST elevation ... Progression #diagnosis #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
of ST Segment Elevation ... - ST-segment elevation ... - Concave ST elevation ... • ST-segment elevation ... cardiology #ecg #ekg #electrocardiogram
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 ... EM_RESUS #LAD #Occlusion ... Total #ECG #EKG #Electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Conventional STEMI - Elevation ... with 1-2 mm ST elevation ... criterion 1 - ST elevation ... modified) - ST elevation ... differential #cardiology #electrocardiogram
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
De Winter's T Waves ... for proximal LAD occlusion ... Tall, Symmetric T-Wave ... #DeWinters #TWaves ... diagnosis #cardiology #electrocardiogram