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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... descending (LAD) occlusion ... ) Upsloping ST elevation ... precordial leads #DeWinter
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... anterior descending occlusions ... before or after STEMI ... - look for ST elevation ... #TWaves #EKG #ECG
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion
suggestive of coronary occlusion ... Diagnosis #Cardiology #EKG ... #Coronary #Occlusion ... #Wellens #DeWinter ... #Sgarbossa #STEMI
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... without meeting ST elevation ... @jonnywatt #Occlusion ... MyocardialInfarction #OMI #STEMI ... #ekg
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
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 ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
- Differential Algorithm ... segment is the only ECG ... predictive of occlusion ... #Differential #Algorithm ... #cardiology #occlusionMI
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
2% of acute LAD occlusion ... be considered a STEMI ... Clinical #Cardiology #EKG ... #ECG #DeWinters ... #STWaves #Occlusion
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... J point • De Winter ... aVR • Posterior STEMI ... #EKG #diagnosis
Mid Left Circumflex STEMI on ECG

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