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

1) Upsloping
Pattern STEMI ... descending (LAD) occlusion ... ) Upsloping ST elevation ... precordial leads #DeWinter ... Electrocardiogram #Diagnosis
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
100% Acute LAD Occlusion ... Remember that RBBB ... So ANY ST Elevation ... STEMI Criteria misses ... Electrocardiogram #Clinical
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
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anterior descending occlusions ... before or after STEMI ... - look for ST elevation ... Team @FOAMfrat #DeWinter ... Electrocardiogram #diagnosis
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 ... in V1, unless LBBB ... #EKG #diagnosis
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... morphology similar to LBBB ... #ST #STEMI #Segment ... #ecg #ekg #electrocardiogram
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
the most likely diagnosis ... be considered a STEMI ... MusaSharkawi #Clinical ... #Cardiology #EKG ... #ECG #DeWinters
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
Diagnostic Criteria ... Absence of ST elevation ... aVR - “Normal” STEMI ... pattern #DeWinter ... #Clinical #Electrocardiogram