15 results
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... may come before ... or after STEMI ... (>1mm) at J point ... #diagnosis #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
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 ... #ECG #EKG #diagnosis ... #differential #cardiology
A Lewis Lead (also called the S5 lead) is a modified ECG lead used to detect
atrial flutter ... flutter is suspected ... waves may be more ... #Cardiology #EKG ... #Flutter #ECGEducator
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- J point STE > ... • DDx: Acute STEMI ... 0.5mm downgoing ST ... #EKG #diagnosis ... electrocardiogram #cardiology
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
depression >1mm at ... the J-point in ... aVR - “Normal” STEMI ... #DeWinter #TWaves ... #ECG #EKG #Clinical
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... block; and sinus tachycardia ... #STEMI #Segment ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
of PR in other leads ... left heart V5, V6 leads ... inversions (may ... Diagnosis #EM #IM #Cardiology ... #Spodick #ECGEducator
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... aVR • Classic EKG ... criteria only looks at ... aVR lead. ... #differential #cardiology
Digoxin effect on Electrocardiogram (EKG)
Digoxin is a cardiac glycoside from the foxglove leaf
Mechanism
 - Inhibits Na-K
from the foxglove leaf ... fibrillation and atrial flutter ... (at therapeutic ... : - Scooping ST ... #Cardiology #Digitalis