10 results
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion
suggestive of coronary occlusion ... Diagnosis #Cardiology #EKG ... #Coronary #Occlusion ... #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 ... precordial leads #DeWinter ... #TWaves #ECG #EKG
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
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 ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... #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 ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Suspect STEMI ... a) Concordant STE ... V1-V3 c) STE ... Diagnosis #Checklist #EKG ... electrocardiogram #ecg
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
occur with subtle STE ... 2% of acute LAD occlusion ... be considered a STEMI ... #ECG #DeWinters ... #STWaves #Occlusion
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
for proximal LAD occlusion ... V1-V4 without STE ... leads V1-V4 • STE ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
ECG of a 55-year-old ... STE in II, III, ... pattern of Acute RCA Occlusion ... Clinical #Cardiology #EKG ... #STEMI #InferoPosterior
Causes of ST Segment Elevation - Differential Diagnosis Framework

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