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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... precordial leads #DeWinter
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
before or after STEMI ... - look for ST ... waves - Upsloping ST ... segment - ST depression ... Team @FOAMfrat #DeWinter
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- J point STE > ... 0.5mm downgoing ST ... bigger than QRS - deWinter ... line; upsloping ST ... - R/S >1 or ST
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
: “Nonspecific ST ... STE in II, III, ... Reciprocal STD in ... STD in V2 (posterior ... Cardiology #EKG #STEMI
CDC Sexually Transmitted Infections (STI) Treatment Guidelines, 2021
 • Bacterial Vaginosis
 • Cervicitis
 • Chlamydial Infections
Transmitted Infections (STI ... Transmitted #Infections #STI ... Management #CDC #STD
ST depression & T wave inversion causes #Pathophys #Diagnosis #Cardiology #MedStudent #EKG #Differential #TWI #STD #TWaveInversion
ST depression & ... Differential #TWI #STD
STI/STD Post-Exposure Prophylaxis Regimens
STI prophylaxis after Sexual Assault
 • Azithromycin 1g PO or doxycycline 100mg PO
STI/STD Post-Exposure ... Prophylaxis Regimens STI ... BIDMC_IDFellows #STI ... #STD #PostExposure
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
for diagnosing STEMI ... is concordant ST ... or a discordant ST ... A: Concordant STE ... B: Concordant STD
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Discordance" = ST ... Criteria - Suspect STEMI ... a) Concordant STE ... b) Concordant STD ... V1-V3 c) STE
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
- Upsloping ST ... - Absence of ST ... precordial leads - ST ... aVR - “Normal” STEMI ... pattern #DeWinter