16 results
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
or after STEMI ... (>1mm) at J point ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #Electrocardiogram ... #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
depression >1mm at ... the J-point in ... aVR - “Normal” STEMI ... #DeWinter #TWaves ... #ECG #EKG #Clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... - J point STE > ... big R or R/S>I STEMI ... #EKG #diagnosis ... electrocardiogram #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
overdose: Prominent R wave ... prominent terminal R wave ... tachycardia (SVT ... criteria only looks at ... #differential #cardiology
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
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
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
SVT - Wide Tachycardias ... QRS complexes at ... nadir of the S-wave ... nadir of the S-wave ... #ekg #cardiology
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
w/ BBB (3) SVT ... (MAT) - 3 ... different P waves ... #EKG #diagnosis ... electrocardiogram #cardiology
Acute Pericarditis Electrocardiographic Changes

Stage l: Diffuse, concave ST-segment elevation 

Stage II: ST segments normalize, J point
elevation Stage II: ST ... segments normalize, J ... inversions may ... Electrocardiogram #ECG ... #EKG #Cardiology