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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... 1 mm) 2) ST depressions ... precordial leads #DeWinter ... Diagnosis #Cardiology #Criteria
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... before or after STEMI ... segment - ST depression ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Criteria - Tall ... Upsloping ST segment depression ... aVR - “Normal” STEMI ... or follow the deWinter ... pattern #DeWinter
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... • Sgarbossa criterion ... V6 • Sgarbossa criterion ... • Sgarbossa criterion ... #EKG #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
bigger than QRS - deWinter ... disease - ST depression ... - R/S >1 or ST depression ... isoeIectric in VI with depression ... #EKG #diagnosis
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... normally has ST Depression ... STEMI Criteria misses ... Occlusion #Total #ECG ... #EKG #Electrocardiogram
Major Depressive Disorder (MDD): Pathogenesis and Clinical Findings

Symptoms (included in DSM 5 criteria) - Present during
Major Depressive ... included in DSM 5 criteria ... ) - Worse in winter ... MajorDepressiveDisorder #Depression ... #Psychiatry
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
combination of ST depression ... referred to as the De Winter ... be considered a STEMI ... Clinical #Cardiology #EKG ... #ECG #DeWinters
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Infarction  Ischemic Symptoms ...  EKG and/or biomarker ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic
Pericarditis - Definition and Diagnostic Criteria
Acute Pericarditis 
 • Inflammatory pericardial syndrome to be diagnosed with
and Diagnostic Criteria ... the 4 following criteria ... ST-elevation or PR depression ... on ECG (4) ... pericarditis and a symptom-free