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

1) Upsloping
De Winter T Wave ... Equivalent - Left anterior ... elevation in aVR ... 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 ... elevation in aVR ... #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
women • DDx: Acute ... bigger than QRS - deWinter ... avR - proximal ... - early inferior ... #EKG #diagnosis
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 ... classic pattern of Acute ... Clinical #Cardiology #EKG
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 ... inversions in the anterior ... #EKG #diagnosis
Typical ECG changes in acute pericarditis includes: stage 1 - diffuse, positive, ST elevations with reciprocal
in acute pericarditis ... depression in aVR ... PR segment in aVR ... 3 - diffuse T wave ... inverted #Diagnosis #EM
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Acute myocardial ... artery (LMCA). left anterior ... #AVR #leadAVR #ecg ... electrocardiogram #diagnosis #ekg
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... findings in acute ... • Dominant R Wave ... Leads (VI-V3) +/- Inferior ... in aVR +/- Right
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
anteroseptal and inferior ... weeks following an acute ... Post-cardioversion • Acute ... diagnosis #cardiology #ecg ... #ekg #electrocardiogram