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

1) Upsloping
Equivalent - Left anterior ... descending (LAD ... 1) Upsloping ST ... (>= 1 mm) 2) ST ... #ECG #EKG #Electrocardiogram
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
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... have no pain - LAD ... avR - proximal LAD ... in avL - early inferior ... #EKG #diagnosis
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
with probable inferior ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
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 ... Serial EKGS in pts
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ... in aVL and in lead ... conduction delay (R'-wave ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
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
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... Hyperacute Inferior ... Biphasic T-wave ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior