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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... anterior descending (LAD ... precordial leads #DeWinter
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... mother of all wraparound ... LAD. ... yourheartdoc1 #Wraparound ... #LAD #STEMI #EKG
Wraparound LAD STEMI on Cardiac Cath
47 year old with chest pain. Ectopic atrial rhythm with ST
Wraparound LAD STEMI ... mother of all wraparound ... LAD. ... yourheartdoc1 #Wraparound ... #LAD #STEMI #clinical
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... bigger than QRS - deWinter ... have no pain - LAD ... avR - proximal LAD
De Winter's T-waves in precordial leads and ST elevation in inferior leads.  There are already
open proximal LAD ... to a wraparound ... distal LAD supplying ... Cardiology #EKG #DeWinter
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
referred to as the De Winter ... in 2% of acute LAD ... be considered a STEMI ... Cardiology #EKG #ECG #DeWinters
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
SHOCK INITIATIVE ALGORITHM ... evidence of AMI (STEMI ... or NSTEMI) Cardiogenic ... ACTIVATE CATH LAB ... Cardiogenic #Shock #Algorithm
Chest Pain Diagnosis and Management Algorithm
STEMI:
 - Hx: Pressure like CP, Radiation to arm/jaw, CAD risk
and Management Algorithm ... STEMI: - Hx: Pressure ... Radiation to arm/jaw, CAD ... Diagnosis #Management #Algorithm
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
and published an algorithm ... emergent cath lab ... CardiacArrest #Algorithm ... Comatose #CathLab #NSTEMI