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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... descending (LAD) occlusion ... 1) Upsloping ST ... (>= 1 mm) 2) ST
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... without meeting ST ... @jonnywatt #Occlusion ... MyocardialInfarction #OMI #STEMI ... #ekg
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... anterior descending occlusions ... - De Winter T ... before or after STEMI ... DeWinter #TWaves #EKG
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
sign of Left Main occlusion ... aVR is a good ECG ... sign of left main occlusion ... #Clinical #EM #IM ... #Cardiology #EKG
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI vs STEMI ... believe that the ST ... segment is the only ECG ... predictive of occlusion ... Algorithm #cardiology #occlusionMI
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... 100% Acute LAD Occlusion ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... #Total #ECG #EKG
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
Reciprocal STD in ... STD in V2 (posterior ... pattern of Acute RCA Occlusion ... Clinical #Cardiology #EKG ... #STEMI #InferoPosterior
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... asymmetrical, similar or bigger ... #Ischemia #ECG ... #EKG #diagnosis ... electrocardiogram #cardiology #STEMI
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
referred to as the De Winter ... 2% of acute LAD occlusion ... be considered a STEMI ... Clinical #Cardiology #EKG ... #STWaves #Occlusion
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... hour had a 100% occlusion ... can look in occlusion ... ST elevations in ... with reciprocal st