13 results
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
before or after STEMI ... ST elevation in aVR ... - Upsloping ST segment ... #ECG #Electrocardiogram ... #diagnosis #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
isolectric ST segment ... STEMI Criteria misses ... Occlusion #Total #ECG ... #EKG #Electrocardiogram ... #Clinical #Cardiology
Accelerated Idioventricular Rhythm (AIVR) on EKG
 • Regular rhythm with wide. 
 • QRS complexes >120
Idioventricular Rhythm (AIVR ... Ventricular origin ... #diagnosis #cardiology ... #EKG #ECG #Electrocardiogram ... #clinical
Pericarditis on EKG
Stage 1 - Widespread ST elevation (<5mm) and PR depression; In aVR: ST depression
Normalization Spodick's sign ... Downsloping TP segments ... #ECG #electrocardiogram ... #cardiology #diagnosis ... #clinical
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
ST elevation in aVR ... V2 • Wellens sign ... pain • Wellens sign ... #differential #cardiology ... #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... STE: "Pardee's sign ... (Eiffel Tower sign ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Equivalents / Don't Miss Signs ... leads with STE in avR ... #Ischemia #ECG ... #electrocardiogram ... #cardiology #STEMI
Osborn waves - positive deflections at the J point (negative in aVR and V1) with a
point (negative in aVR ... - are abnormal electrocardiogram ... or idiopathic ventricular ... #Cardiology #diagnosis ... #ECG #Clinical
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
- Upsloping ST segment ... (0.5mm-1mm) in aVR ... - “Normal” STEMI ... #EKG #Clinical ... #Electrocardiogram
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
is positive in aVR ... - a sinus and ventricular ... - Brugada's sign ... #ekg #cardiology ... #diagnosis #electrocardiogram