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

1) Upsloping
De Winter T Wave ... depressions and tall T waves ... #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 ... T waves may come ... FOAMfrat #DeWinter #TWaves ... #EKG #ECG #Electrocardiogram ... #diagnosis #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
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... symmetrical T-waves ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
Wolff-Parkinson-White Syndrome

WPW is a congenital abnormality characterized by an abnormal accessory conduction pathway between the atria
out for a delta wave ... The definitive treatment ... complex (Delta wave ... WolffParkinsonWhite #WPW #Cardiology ... #ECG #EKG #Electrocardiogram
Multifocal Atrial Tachycardia (MAT)
• At least 3 different P wave morphologies: 
• Rate 100-180
• Irregular 
Etiology
3 different P wave ... hypertension Management ... • Oxygen • Treatment ... Tachycardia #MAT #Cardiology ... #EKG #Management
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- hyperacute T waves ... stenosis - U wave ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
Approach to ECGs - Tachy/Bradyarrhythmias
Tachyarrhythmias - HR > 100
Wide
  (1) VT - DANGER
  (2)
3 different P waves ... bradyarrhythmia #ECG ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #differential
Summary of Heart Blocks
1st Degree Heart Block:
 • Prolonged PR >200ms (5 small squares).
 • Narrow
non-conducted P wave ... Brady Management ... Non-conducted P waves ... #electrocardiogram ... #ecg #cardiology
ECG pattern "de Winter"

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

#DeWinter #Pattern
ECG pattern "de ... Winter" (ST depression ... a hyperacute T-wave ... DeWinter #Pattern #electrocardiogram ... #cardiology #ekg