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

1) Upsloping
descending (LAD) occlusion ... #TWaves #ECG #EKG ... #Electrocardiogram ... #Diagnosis #Cardiology ... #Criteria
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
anterior descending occlusions ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG ... #Electrocardiogram ... #diagnosis #cardiology
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Coronary Artery Occlusion ... LeftMain #Coronary #Occlusion ... #Artery #ECG #EKG ... #Diagnosis #Electrocardiogram ... #Cardiology #Criteria
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
3 ECG patterns for ... Acute Occlusion ... meeting ST elevation criteria ... equivalent #diagnosis #cardiology ... #electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... STEMI Criteria misses ... #Total #ECG #EKG ... #Electrocardiogram ... #Clinical #Cardiology
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
for proximal LAD occlusion ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology ... #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... bigger than QRS - deWinter ... T waves - starts ... #electrocardiogram ... #cardiology #STEMI
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
Equivalents on ECG ... J point • De Winter ... #Equivalents #ECG ... #differential #cardiology ... #electrocardiogram
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
nodes • Roth’s spots ... due to vascular occlusion ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... diagnosis #management #cardiology
Multifocal Atrial Rhythm vs Wandering Atrial Pacemaker
Mutifocal Atrial Rhythm / Multifocal Atrial Tachycardia:
Belong to a group
electrocardiographic criteria ... dominant pacemaker focus ... wap #diagnosis #cardiology ... #ekg #ecg #electrocardiogram