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

1) Upsloping
Pattern STEMI ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... precordial leads #DeWinter ... #TWaves #ECG #EKG
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... new/old infarct STEMI ... • DDx: Acute STEMI ... bigger than QRS - deWinter ... #EKG #diagnosis
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
Winter T-Waves on EKG ... before or after STEMI ... - look for ST ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Diagnostic Checklist ... Should see "Appropriate ... Criteria - Suspect STEMI ... Modified #Diagnosis #Checklist ... #EKG #electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... should alarm you ... segment should ... STEMI Criteria misses ... #EKG #Electrocardiogram
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
combination of ST ... It should be considered ... a STEMI equivalent ... Clinical #Cardiology #EKG ... #ECG #DeWinters
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Winter T Wave on ECG ... aVR - “Normal” STEMI ... or follow the deWinter ... pattern #DeWinter ... #TWaves #ECG #EKG
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
is additional ST ... diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Mid Left Circumflex STEMI on ECG

This patient who had cp for 1 hour had a 100%
Left Circumflex STEMI ... It should be humbling ... ST elevations in ... with reciprocal st ... frequently missed stemi
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... segments and T waves should ... #STEMI #Segment ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram