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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... ST elevation in aVR ... #TWaves #ECG #EKG ... #Criteria
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion
unforgettable ECG ... #Cardiology #EKG ... #Coronary #Occlusion ... #Wellens #DeWinter ... #Sgarbossa #STEMI
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
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De Winter T-Waves ... anterior descending occlusions ... or after STEMI ... ST elevation in aVR ... #TWaves #EKG #ECG
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... segment is the only ECG ... EMN @EMNews #ACS ... #Algorithm #cardiology ... infarction #diagnosis #coronary
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
for proximal LAD occlusion ... • STE in lead aVR ... ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... ST elevation in aVR ... of the leads l, aVL ... • Sgarbossa criterion ... #differential #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... ST elevation in ACS ... diagnosis includes ACS ... instead of ACS. ... #differential #cardiology
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Acute Coronary Syndrome ... (ACS) Definitions ... is reflected by ECG ... #Diagnosis #Cardiology ... #ACS #Unstable
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

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The combination of
the De Winter ECG ... subtle STE in aVR ... be considered a STEMI ... #EKG #ECG #DeWinters ... #STWaves #Occlusion
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... bigger than QRS - deWinter ... leads with STE in avR ... inversion in avL ... electrocardiogram #cardiology