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Patterns of Ischemia T-Waves on ECG

However, there are more kinds of ischemia than just STEMI and
than just STEMI ... of even normal ECGs ... Diagnosis #Cardiology #ECG ... #EKG #NSTEMI #Ischemic ... #DeWinter #Wellens
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
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
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... = Biomarkers + ECG ... Miss Signs of Ischemia ... bigger than QRS - deWinter ... #electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
on ECG Diagnostic ... aVR - “Normal” STEMI ... pattern #DeWinter ... #TWaves #ECG #EKG ... #Clinical #Electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... Sgarbossa criterion 3 (modified ... deviation) • Acute ischemia ... differential #cardiology #electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa ... 3) Implement Modified ... Criteria - Suspect STEMI ... #electrocardiogram ... #ecg #cardiology
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
Modified Sgarbossa ... of conventional STEMI ... positive based on the modified ... #Modified #EKG ... #Electrocardiogram
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Infarction  Ischemic ... Symptoms  EKG ... evidence of AMI (STEMI ... Cardiogenic #Shock #Algorithm