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

1) Upsloping
Equivalent - Left anterior ... 1) Upsloping ST ... elevation in aVR ... (>= 1 mm) 2) ST ... #DeWinter #TWaves
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... - 2% of left anterior ... elevation in aVR ... - Upsloping ST ... FOAMfrat #DeWinter #TWaves
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 #TWaves
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
(in inferior leads ... in aVR Poor R wave ... progression ST ... Septal (V1-2) • Anterior ... , V5-6) • Inferior
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
sign A - Biphasic anterior ... Deeply inverted anterior ... asymmetrical, broad-based anterior ... deviation) • Acute ... inversions in the anterior
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
and T wave abnormality ... Hyperacute Inferior ... Biphasic T-wave ... Q-wave in III, early ... classic pattern of Acute
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
women • DDx: Acute ... in avR - Wellen's ... avR - proximal ... inversion in avL ... - early inferior
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
depression in aVR ... depression in aVR ... anteroseptal and inferior ... weeks following an acute ... Post-cardioversion • Acute
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Acute myocardial ... infarction: ST ... artery (LMCA). left anterior ... overdose: Prominent R wave ... prominent terminal R wave
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
ECG changes in acute ... depression in aVR ... PR segment in aVR ... 3 - diffuse T wave ... inverted #Diagnosis #EM