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

1) Upsloping
Pattern STEMI ... ) Upsloping ST elevation ... #EKG #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
The electrocardiogram ... in the ACS patient ... oriented ST-segment elevation ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
without meeting ST elevation ... criteria • Posterior ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology ... #electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
So ANY ST Elevation ... have ’relative elevation ... STEMI Criteria misses ... #EKG #Electrocardiogram ... #Clinical #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
before or after STEMI ... - look for ST elevation ... in aVR (0.5-1mm ... #ECG #Electrocardiogram ... #diagnosis #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI - Elevation ... in aVR • Posterior ... #EKG #diagnosis ... #differential #cardiology ... #electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Diagnostic Criteria ... (0.5mm-1mm) in aVR ... - “Normal” STEMI ... #EKG #Clinical ... #Electrocardiogram
Modified Sgarbossa Positive ECG

Interestingly, the ECG for this case report shows development of conventional STEMI criteria
of conventional STEMI ... lead V6 has ST elevation ... #Modified #EKG ... #Electrocardiogram ... #Clinical #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... depression in aVR ... #ST #STEMI #Segment ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram