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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... #TWaves #ECG #EKG ... Electrocardiogram #Diagnosis #Cardiology ... #Criteria
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... before or after STEMI ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG ... Electrocardiogram #diagnosis #cardiology
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... Criteria - Tall ... aVR - “Normal” STEMI ... #TWaves #ECG #EKG ... #Clinical #Electrocardiogram
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
Concerning for proximal LAD ... ST-Depression at J Point ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- J point STE > ... bigger than QRS - deWinter ... have no pain - LAD ... avR - proximal LAD ... electrocardiogram #cardiology
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
in 2% of acute LAD ... be considered a STEMI ... MusaSharkawi #Clinical ... #Cardiology #EKG ... #ECG #DeWinters
LAD Coronary Artery Dissection on POCUS

Severe CP x 1 hour, Ant/Sept STEMI on EKG.  ED
LAD Coronary Artery ... hour, Ant/Sept STEMI ... on EKG. ... Echocardiogram #PSAX #Clinical ... #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... • De Winter syndrome ... • Sgarbossa criterion ... #Equivalents #ECG ... #differential #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... #Clinical #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... - Suspect STEMI ... > 25% in any lead ... electrocardiogram #ecg ... #cardiology #lbbb