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

1) Upsloping
ECG Pattern STEMI ... descending (LAD) occlusion ... precordial leads #DeWinter ... Electrocardiogram #Diagnosis ... #Cardiology #Criteria
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion
#Diagnosis #Cardiology ... #EKG #ECG #Patterns ... #Coronary #Occlusion ... #Wellens #DeWinter ... #Sgarbossa #STEMI
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
anterior descending occlusions ... before or after STEMI ... Team @FOAMfrat #DeWinter ... Electrocardiogram #diagnosis ... #cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... meeting ST elevation criteria ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #cardiology #electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
100% Acute LAD Occlusion ... STEMI Criteria misses ... - Sam Ghali, M.D ... EM_RESUS #LAD #Occlusion ... Electrocardiogram #Clinical #Cardiology
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
the most likely diagnosis ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #DeWinters ... #STWaves #Occlusion
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
CRITERIA Acute ... Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... DCSI #Initiative #Management ... #Cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... V6 • Sgarbossa criterion ... • Sgarbossa criterion ... #EKG #diagnosis ... #differential #cardiology
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
due to vascular occlusion ... Differential Diagnosis ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #management #cardiology