11 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 ... #TWaves #ECG #EKG
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... before or after STEMI ... ST elevation in aVR ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG
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 on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... (0.5mm-1mm) in aVR ... - “Normal” STEMI ... pattern #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 ... bigger than QRS - deWinter ... leads with STE in avR ... inversion - STE avR
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
rocket-shaped T waves ... subtle STE in aVR ... be considered a STEMI ... Cardiology #EKG #ECG #DeWinters ... #STWaves #Occlusion
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 ... • Posterior STEMI
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
De Winter's T Waves ... Tall, Symmetric T-Wave ... • STE in lead aVR ... ± aVL #DeWinters ... #TWaves #EKG #ECG
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... depression in aVR ... replaced by T wave ... depression in aVR ... STElevation #ST #STEMI
Ventricular Tachycardia in Wide Complex Tachycardia - Telemetry Diagnosis
 • Lead V1 - LBBB Criteria
 •
• Lead II - R-Wave ... RWPT) • Lead aVR ... - Vereckie Algorithm ... #Algorithm #