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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... ) Upsloping ST elevation ... #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 ... - look for ST elevation ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #Electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Disorders: • Hyperkalemia ... • Hypercalcemia ... #ST #STEMI #Segment ... cardiology #ecg #ekg #electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... aVR • Posterior STEMI ... anterior leads) #STEMI ... differential #cardiology #electrocardiogram
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
without meeting ST elevation ... • Hyperacute T Waves ... MyocardialInfarction #OMI #STEMI ... diagnosis #cardiology #electrocardiogram
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
narrow-based T Waves ... Loss of visible P waves ... • Pseudo-STEMI ... rhythm • "Sine wave ... #EKG #ECG #electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Absence of ST elevation ... - ST segment elevation ... aVR - “Normal” STEMI ... #DeWinter #TWaves ... EKG #Clinical #Electrocardiogram
Hyperkalemia, K > 10

I recently was called for a STEMI with this ECG. Pt was 40’s
Hyperkalemia, K ... was called for a STEMI ... hyperpeaked T waves ... pulling the T wave ... #Electrocardiogam
LAD
IWMI
LAHB
RAD
[PHB
RVH
Lateral wall infarct
Lead reversal
Dextrocardia
Wide ORS
RBBB - terminal delay
[BBB
IVED
WPW = delta wave
Hyperkalemia
Type l antiarrhythmic drugs
Pacemaker
ST elevation
Early repolarization
IVED WPW = delta wave ... Hyperkalemia ... Pacemaker ST elevation ... AcutE STEMI Variant ... LBBB #IVED #WPW #Hyperkalemia
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... lead V6 has ST elevation ... 2.5mm/S-wave 6mm ... Modified #EKG #Electrocardiogram