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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... precordial leads #DeWinter ... TWaves #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology
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
Posterior STEMI by "flipping" the EKG

- BCM IM Residency @BCM_InternalMed

#Posterior #STEMI #flipping #flipped #EKG #ECG #Electrocardiogram
Posterior STEMI ... BCM_InternalMed #Posterior #STEMI ... flipped #EKG #ECG #Electrocardiogram ... #clinical #cardiology
Proximal LAD STEMI on EKG

Pt required pressors to get to PCI.

Eric Abrams, MD @eabramsMD

#Proximal #LAD #STEMI
Proximal LAD STEMI ... Proximal #LAD #STEMI ... #EKG #ECG #clinical ... #cardiology #Electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
aVR - “Normal” STEMI ... or follow the deWinter ... pattern #DeWinter ... TWaves #ECG #EKG #Clinical ... #Electrocardiogram
ECG pattern "de Winter"

(ST depression in V1-V6 with upsloping ST depression and a hyperacute T-wave)

#DeWinter #Pattern
ECG pattern "de Winter ... hyperacute T-wave) #DeWinter ... #Pattern #electrocardiogram ... #cardiology #ekg ... ecg #diagnosis #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... bigger than QRS - deWinter ... EKG #diagnosis #electrocardiogram ... #cardiology #STEMI
ECG of a 32-year-old lady with chest pain. 

Cath showed 100% proximal LAD Occlusion.
Occlusion #ECG #EKG #STEMI ... #Clinical #ECG ... #EKG #Electrocardiogram ... #Cardiology
Myocardial Injury Classification
Chronic myocardial injury: Chronic heart failure, Cardiomyopathy, Hypertension, CKD/ESRD
Acute nonischemic myocardial injury:
 - Primary
Myocardial Injury ... Chronic myocardial injury ... non-cardiac illness: Critical ... Classification #diagnosis #cardiology ... #troponemia #NSTEMI
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
STEMI Criteria misses ... Total #ECG #EKG #Electrocardiogram ... #Clinical #Cardiology