21 results
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... may come before ... or after STEMI ... J point usually ... #diagnosis #cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Multifocal Atrial Tachycardia ... 3 different P wave ... #MAT #Cardiology ... #Diagnosis #ECG ... #EKG #Management
Multifocal Atrial Tachycardia (MAT) on EKG
 • Heart rate > 100 bpm (usually 100-150 bpm)
 •
Multifocal Atrial Tachycardia ... (MAT) on EKG ... 3 distinct P-wave ... Multifocal #Atrial #Tachycardia ... #diagnosis #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
of ST segment at ... ms after) the J ... Winter syndrome - J-point ... #EKG #diagnosis ... #differential #cardiology
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
on ECG Diagnostic ... depression >1mm at ... the J-point in ... aVR - “Normal” STEMI ... #ECG #EKG #Clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... - J point STE > ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... block; and sinus tachycardia ... STElevation #ST #STEMI ... #cardiology #ecg
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
3 - diffuse T wave ... inversions (may ... inverted #Diagnosis ... #EM #IM #Cardiology ... #EKG #Pericarditis
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
ST-Depression at ... J Point in leads ... #DeWinters #TWaves ... #EKG #ECG #diagnosis ... #cardiology #electrocardiogram
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
Osborn waves - positive ... the J point (negative ... This EKG was recorded ... #EKG #EmergencyMedicine ... #Cardiology #diagnosis