10 results
Patterns of Ischemia T-Waves on ECG

However, there are more kinds of ischemia than just STEMI and
than just STEMI ... #Diagnosis #Cardiology ... #ECG #EKG #NSTEMI ... #Ischemic #Ischemia ... #TWaves #DeWinter
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
before or after STEMI ... - look for ST elevation ... - Upsloping ST segment ... Team @FOAMfrat #DeWinter ... Electrocardiogram #diagnosis
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... ) Upsloping ST elevation ... precordial leads #DeWinter ... Electrocardiogram #Diagnosis
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
on ECG Diagnostic ... elevation (0.5mm ... aVR - “Normal” STEMI ... or follow the deWinter ... pattern #DeWinter
ST segment elevation in acute myocardial ischemia

ST segment elevations with straight (horizontal, upsloping or downsloping) or
ST segment elevation ... ST segment elevations ... #Diagnosis #Cardiology ... #ECG #EKG #STEMI ... #STElevation #Ischemic
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... big R or R/S>I STEMI ... bigger than QRS - deWinter ... #ECG #EKG #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework ... STEMI: • Upsloping ... morphology similar to LBBB ... #ST #STEMI #Segment ... #ecg #ekg #electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... STEMI - Elevation ... aVR • Posterior STEMI ... anterior leads) #STEMI ... #EKG #diagnosis
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
the most likely diagnosis ... occur with subtle STE ... be considered a STEMI ... Clinical #Cardiology #EKG ... #ECG #DeWinters
Modified Sgarbossa Criteria for diagnosing STEMI in the presence of a LBBB If there is concordant
STEMI in the presence ... of a LBBB If there ... ST changes (ST segments ... discordant ST elevation ... > 0.25 S #Diagnosis