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

1) Upsloping
ECG Pattern STEMI ... descending (LAD) occlusion ... #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion
#Diagnosis #Cardiology ... #EKG #ECG #Patterns ... #Coronary #Occlusion ... #Wellens #DeWinter ... #Sgarbossa #STEMI
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
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anterior descending occlusions ... before or after STEMI ... Team @FOAMfrat #DeWinter ... #Electrocardiogram ... #diagnosis #cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... meeting ST elevation criteria ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #cardiology #electrocardiogram
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Coronary Artery Occlusion ... LeftMain #Coronary #Occlusion ... #Artery #ECG #EKG ... #Diagnosis #Electrocardiogram ... #Cardiology #Criteria
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
100% Acute LAD Occlusion ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... #Electrocardiogram ... #Clinical #Cardiology
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
on ECG Diagnostic ... Criteria - Tall ... aVR - “Normal” STEMI ... pattern #DeWinter ... #Clinical #Electrocardiogram
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
the most likely diagnosis ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #DeWinters ... #STWaves #Occlusion
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... bigger than QRS - deWinter ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
for proximal LAD occlusion ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology ... #electrocardiogram