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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... ST elevation in aVR ... precordial leads #DeWinter
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion
suggestive of coronary ... ECG #Patterns #Coronary ... Occlusion #Wellens #DeWinter ... #Sgarbossa #STEMI
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... occlusions - De Winter ... before or after STEMI ... ST elevation in aVR ... Team @FOAMfrat #DeWinter
Acute Coronary Syndrome - Management Algorithm
 • STEMI
 • NSTEMI (Troponin Positive) / Unstable Angina (UA,
Acute Coronary Syndrome ... - Management Algorithm ... • STEMINSTEMI ... MatthewHoMD #Acute #Coronary ... ACS #Management #Algorithm
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - OMI vs STEMI ... - Differential Algorithm ... The name STEMI ... #Differential #Algorithm ... infarction #diagnosis #coronary
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... (0.5mm-1mm) in aVR ... - “Normal” STEMI ... or follow the deWinter ... pattern #DeWinter
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... bigger than QRS - deWinter ... leads with STE in avR ... inversion - STE avR
Recommendations for initial management of Unstable Angina/NSTEMI

Flowchart for class I and class lla recommendations for initial
Unstable Angina/NSTEMI ... infarction (UA/NS TEMI ... aspirin; CABG, coronary ... UnstableAngina #Management #Algorithm
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... evidence of AMI (STEMI ... place IMPELLA Coronary ... administration of intra-coronary ... Cardiogenic #Shock #Algorithm
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
referred to as the De Winter ... subtle STE in aVR ... be considered a STEMI ... Cardiology #EKG #ECG #DeWinters