196 results
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 ... point usually V2 ... Team @FOAMfrat #DeWinter
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... leads, except • V2 ... • DDx: Acute STEMI ... bigger than QRS - deWinter ... electrocardiogram #cardiology #STEMI
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... precordial leads #DeWinter
Patterns of Ischemia T-Waves on ECG

However, there are more kinds of ischemia than just STEMI and
ischemia than just STEMI ... Cardiology #ECG #EKG #NSTEMI ... Ischemia #TWaves #DeWinter
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion
Occlusion #Wellens #DeWinter ... #Sgarbossa #STEMI
ST Elevation Myocardial Infarction (STEMI)

Criteria:
• New ST-segment elevation at the J point in 2 contiguous leads
Myocardial Infarction (STEMI ... leads other than V2 ... • In leads V2- ... Myocardial #Infarction #STEMI
Unstable Angina vs NSTEMI vs STEMI

#differential #Chestpain; #NSTEMI; #STEMI; #Unstableangina; #Angina 

Image Source: De Virgilio, C.,
Unstable Angina vs NSTEMI ... vs STEMI #differential ... #Chestpain; #NSTEMI ... ; #STEMI; #Unstableangina
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... • Conventional STEMI ... J point • De Winter ... a tall R in V1/V2 ... S ratio > 1 in V2
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Unstable Angina, NSTEMI ... , STEMI 1 STABLE ... - During an NSTEMI ... myocardium. 4 STEMI ... - A STEMI is
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... aVR - “Normal” STEMI ... or follow the deWinter ... pattern #DeWinter