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

1) Upsloping
De Winter T Wave ... Equivalent - Left anterior ... 1) Upsloping ST ... elevation in aVR ... precordial leads #DeWinter
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 ... elevation in aVR ... Team @FOAMfrat #DeWinter
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 ... in avR - Wellen's ... avR - proximal ... inversion in avL ... - early inferior
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
elevation in aVR ... sign A - Biphasic anterior ... Deeply inverted anterior ... asymmetrical, broad-based anterior ... 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 ... #Clinical #Cardiology
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
There is inferior ... in aVL and in ... conduction delay (R'-wave ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
is additional ST ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
Authors: Mark M. Ramzy, DO, EMT-P (@MarkRamzyDO, EM Resident Physician, Drexel University, Department of Emergency Medicine)
(@MarkRamzyDO, EM ... Hamilton, MD (EM ... over the left anterior ... This patient’s clinical ... over the left anterior