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

1) Upsloping
ECG Pattern STEMI ... descending (LAD) occlusion ... ST elevation in aVR ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... anterior descending occlusions ... before or after STEMI ... ST elevation in aVR ... #EKG #ECG #Electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... leads with STE in avR ... inversion - STE avR ... #ECG #EKG #diagnosis ... #electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... ST elevation in ACS ... predictor of recurrent ischemic ... #AVR #leadAVR #ecg ... #electrocardiogram
Progression of EKG changes in Acute Coronary Syndrome (ACS)
Hyperacute T waves:
 • Broad-based and symmetrical, usually
Progression of EKG ... Acute Coronary Syndrome ... (ACS) Hyperacute ... depression and Twave ... #diagnosis #electrocardiogram
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... pattern of Acute RCA Occlusion ... InferoPosterior transmural ischemia ... Clinical #Cardiology #EKG ... #STEMI #InferoPosterior
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
point • De Winter syndrome ... ST elevation in aVR ... deviation) • Acute ischemia ... #EKG #diagnosis ... differential #cardiology #electrocardiogram
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
EKG Interpretation ... Fibrillary = afib • Saw-Tooth ... in aVR Poor R wave ... WolffParkinson-White syndrome ... #Electrocardiogram
Premature atrial complex (PAC) - ECG Recognition
 • Prematurity and altered P wave morphology.
 • P
is close to the SAN ... in II, Ill and aVF ... #PACs #premature ... cardiology #diagnosis #ekg ... #ecg #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Syndromes • Early ... "pinched off" as ... STElevation #ST #STEMI ... #ekg #electrocardiogram