16 results
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
Differential Diagnosis for ST Segment Elevations
 - ACUTE STEMI 
 - PULMONARY EMBOLISM 
 - LBBB
for ST Segment Elevations ... - ACUTE STEMI ... EMBOLISM - LBBB ... #STSegment #STElevation ... #STEMI #Differential
LAD
IWMI
LAHB
RAD
[PHB
RVH
Lateral wall infarct
Lead reversal
Dextrocardia
Wide ORS
RBBB - terminal delay
[BBB
IVED
WPW = delta wave
Hyperkalemia
Type l antiarrhythmic drugs
Pacemaker
ST elevation
Early repolarization
Pacemaker ST elevation ... pericarditis Elevation ... AcutE STEMI Variant ... #LBBB #IVED #WPW ... Type1AntiarrhythmicDrugs #Pacemaker #STelevation
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... occlusions - De Winter ... before or after STEMI ... - look for ST elevation ... Team @FOAMfrat #DeWinter
Diagnosis of ST-Elevation Myocardial Infarction in the Presence of Left Bundle Branch Block With the ST-Elevation
Diagnosis of ST-Elevation ... Block With the ST-Elevation ... S-Wave Ratio in a Modified ... Cardiology #Sgarbossa #Modified ... #Criteria #LBBB
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
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
- Elevation of ... with 1-2 mm ST elevation ... criterion 1 - ST elevation ... Sgarbossa criterion 3 (modified ... ) - ST elevation
The modified Sgarbossa Rule uses proportions to identify acute AMI in the setting of ST-elevations in
The modified Sgarbossa ... setting of ST-elevations ... in LBBB - Ratio ... of ST-elevation ... EM #Cardiology #Modified
Reperfusion Management of Myocardial Infarction with ST-segment Elevation (STEMI)

#STEMI #PCI #Fibrinolysis #Transfer #Reperfusion #Algorithm #Timeline #Cardiology
with ST-segment Elevation ... (STEMI) #STEMI ... #Reperfusion #Algorithm
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Remember that RBBB ... So ANY ST Elevation ... have ’relative elevation ... STEMI Criteria misses