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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 ... (>= 1 mm) 2) ST ... #DeWinter #TWaves ... #ECG #EKG #Electrocardiogram
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... - 2% of left anterior ... STEMI - look for ST ... - Upsloping ST ... #EKG #ECG #Electrocardiogram
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
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 ... differential #cardiology #electrocardiogram
Myocardial infarction localization. A 12 lead EKG creates a 360 degree view of the electrical activity
& aVL view the inferior ... heart (inferior ... over the anterior ... and are called anterior ... #EKG #diagram #Electrocardiogram
Hip Dislocation - Posterior dislocation (90%): Typically presents with hip flexed and adducted; 5-15% of posterior
Anterior dislocation ... externally rotated #Dagnosis ... #EM #Ortho #Hip ... Classification #Anterior
EKG Interpretation Cheat Sheet
1) Rate 
 - Regular - Count-Off 
 - Irregular - Count number
(in inferior leads ... progression ST ... Septal (V1-2) • Anterior ... aVL, V5-6) • Inferior ... Interpretation #ECG #Electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- hyperacute T waves ... - deWinter T waves ... stenosis - U wave ... in avL - early inferior ... EKG #diagnosis #electrocardiogram
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
Left Anterior Fascicular ... with tall R waves ... with deep S waves ... #LAFB #Left #Anterior ... cardiology #EKG #ECG #Electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Causes of ST Segment ... Opposing leads ST ... replaced by T wave ... anteroseptal and inferior ... cardiology #ecg #ekg #electrocardiogram