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

1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
ST elevation criteria ... #STEMI #equivalent ... #diagnosis #cardiology ... #electrocardiogram ... #ecg #ekg
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
OMI - 2% of left ... before or after STEMI ... #TWaves #EKG #ECG ... #Electrocardiogram ... #diagnosis #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... STEMI Criteria misses ... @EM_RESUS #LAD ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
bigger than QRS - deWinter ... have no pain - LAD ... avR - proximal LAD ... #electrocardiogram ... #cardiology #STEMI
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... for diagnosing MI ... - Suspect STEMI ... #electrocardiogram ... #ecg #cardiology
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... & OM1 of Circumflex ... #Diagonal1 #ECG ... #EKG #Electrocardiogram ... #Cardiology #Clinical
Diastolic Function Grading - Schematic diastolic filling patterns

I: impaired relaxation, II: moderate diastolic dysfunction (pseudonormal), III:
LV compliance), ECG ... : electrocardiogram ... , MI: mitral inflow ... #Diagnosis #Cardiology ... Classification #Grades #Criteria
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... #Equivalents #ECG ... #differential #cardiology ... #electrocardiogram
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... criteria in the ... complex 10 in lead ... #Electrocardiogram ... #Clinical #Cardiology