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ecg diagnosis electrocardiogram differential clinical dewinters equivalents checklist elevation interpretation ischemia mnemonic occlusion rocketshaped segment st stelevation stwaves syndromes wobbler
De Winter T-Waves on EKG - Anterior OMI - 2% of left anterior descending occlusions -
De Winter T-Waves ... T waves may come ... before or after STEMI ... J point usually ... #TWaves #EKG #ECG
De Winter T Wave on ECG Diagnostic Criteria - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... depression >1mm at ... the J-point in ... aVR - “Normal” STEMI ... #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
STEMI Equivalents on ECG • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
of ST segment at ... ms after) the J ... point • De Winter ... #EKG #diagnosis ... #differential #cardiology
Approach to ECGs - Ischemia MI = Biomarkers + ECG or echo/angiogram findings Pathologic Q - 1/3 height
- J point STE > ... • DDx: Acute STEMI ... bigger than QRS - deWinter ... #EKG #diagnosis ... electrocardiogram #cardiology
ECGofTheDay - What is the most likely diagnosis? What is this finding called? ... The combination of
rocket-shaped T waves ... 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" +
Diagnosis Framework STEMI ... block; and sinus tachycardia ... STElevation #ST #STEMI ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Approach to ECGs - Syncope Syndromes Electrolytes • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs - Syncope ... short QT, Osborn J ... HOCM- dagger Q lat ... #EKG #Checklist ... #diagnosis #cardiology
WOBBLER for ECG assessment in Syncope W - Wolff Parkinson White O - Obstructed AV
abnormality So WOBBLER may ... a bit like the J ... and may be associated ... #EKG #ECG #Diagnosis ... #Cardiology
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