11 results
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... before or after STEMI ... - look for ST elevation ... point usually V2 ... Team @FOAMfrat #DeWinter
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... ) Upsloping ST elevation ... precordial leads #DeWinter
ST Elevation Myocardial Infarction (STEMI)

Criteria:
• New ST-segment elevation at the J point in 2 contiguous leads
ST Elevation Myocardial ... Infarction (STEMI ... leads other than V2 ... • In leads V2- ... Myocardial #Infarction #STEMI
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... leads, except • V2 ... big R or R/S>I STEMI ... bigger than QRS - deWinter ... electrocardiogram #cardiology #STEMI
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
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Absence of ST elevation ... - ST segment elevation ... aVR - “Normal” STEMI ... or follow the deWinter ... pattern #DeWinter
Reperfusion Management of Myocardial Infarction with ST-segment Elevation (STEMI)

#STEMI #PCI #Fibrinolysis #Transfer #Reperfusion #Algorithm #Timeline #Cardiology
with ST-segment Elevation ... (STEMI) #STEMI ... #Reperfusion #Algorithm
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... anteroseptal leads (V2 ... rSR' in V1 and V2 ... in V1 and V2 typically ... #ST #STEMI #Segment
Recommendations for initial management of Unstable Angina/NSTEMI

Flowchart for class I and class lla recommendations for initial
Unstable Angina/NSTEMI ... — ST-segment elevation ... infarction (UA/NS TEMI ... UnstableAngina #Management #Algorithm
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
precordial leads and ST elevation ... already QS-waves in V2 ... Cardiology #EKG #DeWinter