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

1) Upsloping
ECG Pattern STEMI ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
come before or after ... STEMI - look for ... ST elevation in ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #Electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... at (or 40-60 ms after ... aVR • Posterior STEMI ... differential #cardiology #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
0.5mm downgoing ST ... big R or R/S>I STEMI ... line; upsloping ST ... - R/S >1 or ST ... EKG #diagnosis #electrocardiogram
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
without meeting ST ... • Hyperacute T Waves ... MyocardialInfarction #OMI #STEMI ... diagnosis #cardiology #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Diagnosis Framework STEMI ... • Epicardial artery ... #STEMI #Segment ... cardiology #ecg #ekg #electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
- Upsloping ST ... - Absence of ST ... aVR - “Normal” STEMI ... #DeWinter #TWaves ... EKG #Clinical #Electrocardiogram
Recommendations for initial management of Unstable Angina/NSTEMI

Flowchart for class I and class lla recommendations for initial
Unstable Angina/NSTEMI ... angina/non— ST-segment ... infarction (UA/NS TEMI ... CABG, coronary artery ... UnstableAngina #Management #Algorithm
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
in V1 (deep S waves ... Discordance" = ST ... and T waves in ... Criteria - Suspect STEMI ... Checklist #EKG #electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
myocardial infarction: ST ... main coronary artery ... overdose: Prominent R wave ... prominent terminal R wave ... #leadAVR #ecg #electrocardiogram