11 results
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion
unforgettable ECG ... #Diagnosis #Cardiology ... #EKG #ECG #Patterns ... #Wellens #DeWinter ... #Sgarbossa #STEMI
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... descending (LAD) occlusion ... #TWaves #ECG #EKG ... Electrocardiogram #Diagnosis
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... Remember that RBBB ... isolectric ST segment ... STEMI Criteria misses ... #Total #ECG #EKG
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
Winter T-Waves on EKG ... anterior descending occlusions ... before or after STEMI ... - Upsloping ST segment ... #TWaves #EKG #ECG
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
believe that the ST segment ... is the only ECG ... predictive of occlusion ... Algorithm #cardiology #occlusionMI ... myocardial #infarction #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... bigger than QRS - deWinter ... in V1, unless LBBB ... #Ischemia #ECG ... #EKG #diagnosis
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
the most likely diagnosis ... the De Winter ECG ... be considered a STEMI ... Clinical #Cardiology #EKG ... #ECG #DeWinters
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Sgarbossa Criteria - Diagnostic ... Checklist for diagnosing ... Criteria - Suspect STEMI ... #Checklist #EKG ... electrocardiogram #ecg
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Winter T Wave on ECG ... Diagnostic Criteria ... - Upsloping ST segment ... aVR - “Normal” STEMI ... #TWaves #ECG #EKG
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... morphology similar to LBBB ... #cardiology #ecg ... #ekg #electrocardiogram