11 results
Patterns of Ischemia T-Waves on ECG

However, there are more kinds of ischemia than just STEMI and
Patterns of Ischemia ... than just STEMI ... Cardiology #ECG #EKG #NSTEMI ... #Ischemic #Ischemia ... #TWaves #DeWinter
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
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
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs - Ischemia ... Miss Signs of Ischemia ... bigger than QRS - deWinter ... leads with STE in avR ... Wong @mchlwng #Ischemia
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
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... J point • De Winter ... ST elevation in aVR ... deviation) • Acute ischemia
Causes of Altered Level of Consciousness GCS < 7 - Differential Diagnosis Algorithm

Brain Involvement - Hemispheric
Differential Diagnosis Algorithm ... Traumatic • Ischemia ... Involvement - Brain Stem ... Traumatic • Ischemia ... Herniation • Brain stem
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... Infarction  Ischemic ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... 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
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
and Management Algorithm ... STEMI: - Hx: Pressure ... deficit, Limb ischemia ... Diagnosis #Management #Algorithm