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

1) Upsloping
ECG Pattern STEMI ... precordial leads #DeWinter ... Diagnosis #Cardiology #Criteria
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... big R or R/S>I STEMI ... bigger than QRS - deWinter ... electrocardiogram #cardiology #STEMI
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Modified Sgarbossa Criteria ... - Suspect STEMI ... a) Concordant STE ... V1-V3 c) STE ... #Sgarbossa #Criteria
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... INCLUSION CRITERIA ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... Cardiogenic #Shock #Algorithm
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Diagnostic Criteria ... aVR - “Normal” STEMI ... or follow the deWinter ... pattern #DeWinter
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
occur with subtle STE ... be considered a STEMI ... Cardiology #EKG #ECG #DeWinters
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
Modified Sgarbossa Criteria ... for diagnosing STEMI ... A: Concordant STE ... C: Discordant STE ... Sgarbossa #Modified #Criteria