12 results
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
or after STEMI ... J point usually ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG ... #cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Tachycardia (MAT ... 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 ... 3 distinct P-wave ... #Tachycardia #diagnosis ... #cardiology #EKG
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
on ECG Diagnostic ... the J-point in ... aVR - “Normal” STEMI ... pattern #DeWinter ... #TWaves #ECG #EKG
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 ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology
Multifocal Atrial Arrhythmias on ECG
Multifocal atrial rhythm & Multifocal atrial tachycardia
ECG Recognition:
 • Variable P wave
atrial tachycardia ... morphology of at ... #MAT #Multifocal ... atrial #rhythm #tachycardia ... #cardiology #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... - J point STE > ... bigger than QRS - deWinter ... #EKG #diagnosis ... electrocardiogram #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
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
the most likely diagnosis ... May occur with subtle ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #DeWinters
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