10 results
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 ... #Cardiology #Criteria
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
Winter T-Waves on EKG ... before or after STEMI ... segment - ST depression ... #TWaves #EKG #ECG ... #cardiology
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... segment should ... STEMI Criteria misses ... #Total #ECG #EKG ... Electrocardiogram #Clinical #Cardiology
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
believe that the ST ... segment is the ... only ECG finding ... Differential #Algorithm #cardiology ... #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
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Checklist for diagnosing ... Discordance" = ST ... #Checklist #EKG ... electrocardiogram #ecg ... #cardiology #lbbb
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
the most likely diagnosis ... combination of ST ... the De Winter ECG ... be considered a STEMI ... #EKG #ECG #DeWinters
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Framework STEMI ... morphology similar to LBBB ... #STEMI #Segment ... #cardiology #ecg ... #ekg #electrocardiogram
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
for proximal LAD occlusion ... • Upsloping ST-Depression ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Approach to ECGs ... Brugada 1 - Coved STE ... Syncope #Syndromes #ECG ... #EKG #Checklist ... #diagnosis #cardiology