11 results
Patterns of Ischemia T-Waves on ECG

However, there are more kinds of ischemia than just STEMI and
of Ischemia T-Waves ... ischemia than just STEMI ... Cardiology #ECG #EKG #NSTEMI ... Ischemic #Ischemia #TWaves ... #DeWinter #Wellens
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... depressions and tall T waves ... precordial leads #DeWinter ... #TWaves #ECG #EKG
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
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... - De Winter T waves ... before or after STEMI ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
De Winter's T Waves ... V1-V4 without STE ... leads V1-V4 • STE ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... aVR - “Normal” STEMI ... or follow the deWinter ... pattern #DeWinter ... #TWaves #ECG #EKG
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
in V1 (deep S waves ... Criteria - Suspect STEMI ... a) Concordant STE ... V1-V3 c) STE ... / S wave > 25%
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
rocket-shaped T waves ... occur with subtle STE ... be considered a STEMI ... Cardiology #EKG #ECG #DeWinters ... #STWaves #Occlusion
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Upsloping convex STE ... Cardiomyopathy: • STE ... Other Causes - STE ... STElevation #ST #STEMI
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
Nonspecific ST and T wave ... STE in II, III, ... Biphasic T-wave ... Q-wave in III, early ... Cardiology #EKG #STEMI