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

1) Upsloping
De Winter T Wave ... Equivalent - Left anterior ... descending (LAD ... precordial leads #DeWinter ... #TWaves #ECG #EKG
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... on EKG - Anterior ... - 2% of left anterior ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
elevation in inferior ... supplying the inferior ... addition to the anterior ... #Clinical #EM #Cardiology ... #EKG #DeWinter
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
bigger than QRS - deWinter ... have no pain - LAD ... avR - proximal LAD ... in avL - early inferior ... #EKG #diagnosis
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Left Anterior Fascicular ... Block on EKG ... axis deviation (LAD ... #LAFB #Left #Anterior ... #labeled #clinical
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
combination of ST ... in 2% of acute LAD ... MusaSharkawi #Clinical ... #Cardiology #EKG ... #ECG #DeWinters
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... sign A - Biphasic anterior ... Deeply inverted anterior ... asymmetrical, broad-based anterior ... inversions in the anterior
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... Specific for critical ... stenosis of proximal LAD ... becoming acute anterior ... Wellens #Sign #EKG
Inferior Regional Wall Motion Abnormalities on POCUS Echocardiogram

Older male with chest pain, diaphoresis. ECG with concerning
Inferior Regional ... findings inferior ... Patient with RWMA inferior ... RJonesSonoEM #Inferior ... Echocardiogram #clinical
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
A - Biphasic T wave ... specific for a critical ... stenosis of the left anterior ... descending (LAD ... Types #Cardiology #EKG