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

1) Upsloping
ECG Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... #TWaves #ECG #EKG ... Diagnosis #Cardiology #Criteria
Proximal LAD STEMI on EKG

Pt required pressors to get to PCI.

Eric Abrams, MD @eabramsMD

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

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
on ECG Diagnostic ... Criteria - Tall ... aVR - “Normal” STEMI ... #TWaves #ECG #EKG ... #Clinical #Electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... STEMI Criteria misses ... Occlusion #Total #ECG ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... bigger than QRS - deWinter ... have no pain - LAD ... #Ischemia #ECG ... #EKG #diagnosis
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
ECG pattern. ... in 2% of acute LAD ... be considered a STEMI ... #Cardiology #EKG ... #ECG #DeWinters
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... • Sgarbossa criterion ... #Equivalents #ECG ... #EKG #diagnosis
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
open proximal LAD ... wraparound distal LAD ... addition to the anterior ... #Clinical #EM #Cardiology ... #EKG #DeWinter
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Sgarbossa Positive ECG ... of conventional STEMI ... This ECG is unique ... #Modified #EKG ... Electrocardiogram #Clinical
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... DCSI #Initiative #Management