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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... on EKG - Anterior ... before or after STEMI ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #Electrocardiogram
Hyperkalemia on EKG
"Mild" Hyperkalemia
 • Peaked, narrow-based T Waves
 • Double counting of HR by EKG
EKG "Mild" Hyperkalemia ... narrow-based T Waves ... Loss of visible P waves ... rhythm • "Sine wave ... #EKG #ECG #electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... on ECG Diagnostic ... prominent, symmetric T waves ... #DeWinter #TWaves ... #ECG #EKG #Clinical
Osborn (J Wave)

Etiology 
• Hypothermia (below 320C / SOOF) 
• Normal variant 
• Hypercalcemia 
• Neurological
Osborn (J Wave) ... leads • Size of wave ... #Diagnosis #Differential ... #Cardiology #EKG ... #ECG #Hypothermia
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... - hyperacute T waves ... #Ischemia #ECG ... #EKG #diagnosis ... Interpretation #differential
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Checklist for diagnosing ... in V1 (deep S waves ... Criteria - Suspect STEMI ... #Checklist #EKG ... electrocardiogram #ecg
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #
Hyperkalemia - Management Algorithm
 • IV calcium
 • IV insulin and glucose and/or salbutamolt
 • Consider
potassium and ECG ... Tall, "peaked" T waves ... amplitude of P waves ... - Absence of T wave ... potassium #high #diagnosis
Hyperkalemia, K > 10

I recently was called for a STEMI with this ECG. Pt was 40’s
with this ECG. ... Acute diagnosis? ... Key to this ECG ... hyperpeaked T waves ... pulling the T wave