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

1) Upsloping
De Winter T Wave ... Equivalent - Left ... depressions and tall T waves ... #TWaves #ECG #EKG ... Electrocardiogram #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... occlusions - De Winter ... T waves may come ... #TWaves #EKG #ECG ... Electrocardiogram #diagnosis #cardiology
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... prominent, symmetric T waves ... or follow the deWinter ... pattern #DeWinter ... #TWaves #ECG #EKG
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
rocket-shaped T waves ... referred to as the De Winter ... considered a STEMI equivalent ... #EKG #ECG #DeWinters ... #STWaves #Occlusion
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 ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology
ECG pattern "de Winter"

(ST depression in V1-V6 with upsloping ST depression and a hyperacute T-wave)

#DeWinter #Pattern
Winter" (ST depression ... a hyperacute T-wave ... ) #DeWinter # ... electrocardiogram #cardiology ... #ekg #ecg #diagnosis
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... of ST segment at ... J point • De Winter ... leads) #STEMI #Equivalents ... #differential #cardiology
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
Atrial Tachycardia (MAT ... different P wave ... • Oxygen • Treatment ... #Cardiology #Diagnosis ... #ECG #EKG #Management
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- hyperacute T waves ... than QRS - deWinter ... T waves - starts ... #EKG #diagnosis ... electrocardiogram #cardiology
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 ... #algorithm #treatment