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

1) Upsloping
Pattern STEMI ... precordial leads #DeWinter ... #TWaves #ECG #EKG ... #Electrocardiogram ... #Diagnosis #Cardiology
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 ... #EKG #diagnosis ... #electrocardiogram
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
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
before or after STEMI ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG ... #Electrocardiogram ... #diagnosis #cardiology
Wide Complex Tachycardia - ECG Definition and Causes
 • Wide Complex Tachycardia (WCT) is a cardiac
- with fixed BBB ... • Ventricular pacing ... • Electrocardiogram ... Tachycardia #WCT #diagnosis ... #ecg #electrocardiogram
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
V1-V4 without STE ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology ... #electrocardiogram
EKG in Acute Pulmonary Embolism
The sensitivity and specificity for EKG findings in acute PE are low.
EKG
EKG in Acute Pulmonary ... Incomplete or Complete RBBB ... ST-T Changes • STE ... Embolism #AcutePE #diagnosis ... #cardiology #electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Diagnostic Criteria ... aVR - “Normal” STEMI ... or follow the deWinter ... pattern #DeWinter ... #Clinical #Electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... morphology similar to LBBB ... STElevation #ST #STEMI ... #ekg #electrocardiogram
Approach to ECGs - Syncope Syndromes
Electrolytes
 • ↑K - brady, peak T, wide QRS, no P,
Brugada 1 - Coved STE ... (<360ms) PE: RBBB ... #EKG #Checklist ... #diagnosis #cardiology ... #electrocardiogram