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

1) Upsloping
ECG Pattern STEMI ... Equivalent - Left ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
may come before ... or after STEMI ... (>1mm) at J point ... FOAMfrat #DeWinter #TWaves ... #diagnosis #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... of ST segment at ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
without meeting ST ... • Hyperacute T Waves ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #cardiology #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- J point STE > ... Equivalents / Don't ... #EKG #diagnosis ... electrocardiogram #cardiology ... #STEMI #Equivalents
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
Causes of ST Segment Elevation - Differential Diagnosis Framework

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

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
• Upsloping ST-Depression ... at J Point in leads ... #DeWinters #TWaves ... #EKG #ECG #diagnosis ... #cardiology #electrocardiogram
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
the most likely diagnosis ... combination of ST ... be considered a STEMI ... equivalent. - Dr ... #EKG #ECG #DeWinters