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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... ) occlusion ... #TWaves #ECG #EKG ... #Criteria
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
Concerning for proximal LAD ... occlusion (Present ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #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 ... #Cardiology #EKG ... #ECG #DeWinters ... #STWaves #Occlusion
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... Occlusion Remember ... STEMI Criteria misses ... @EM_RESUS #LAD ... #Clinical #Cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
DETROIT CARDIOGENIC ... INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... ACTIVATE CATH LAB ... Initiative #Management #Cardiology
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 ... inversion in avL ... electrocardiogram #cardiology
De Winter's T Waves - Acute Sign of Proximal LAD Occlusion #Clinical #Cardiology #EKG #DeWinter #DeWintersTWaves
De Winter's T Waves ... Sign of Proximal LAD ... Occlusion #Clinical ... #Cardiology #EKG ... #DeWinter #DeWintersTWaves
De Winter's T Waves - Acute Sign of Proximal LAD Occlusion #Clinical #Cardiology #EKG #DeWinter #DeWintersTWaves
De Winter's T Waves ... Sign of Proximal LAD ... Occlusion #Clinical ... #Cardiology #EKG ... #DeWinter #DeWintersTWaves
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... of the leads l, aVL ... #Equivalents #ECG ... #differential #cardiology
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... isolated to I & aVL ... 100% proximal occlusion ... #Diagonal1 #ECG ... #Cardiology #Clinical