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

1) Upsloping
Pattern STEMI ... descending (LAD) occlusion ... precordial leads #DeWinter ... #Electrocardiogram ... #Diagnosis #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
bigger than QRS - deWinter ... in V1, unless LBBB ... #electrocardiogram ... #cardiology #STEMI ... #Equivalents #Interpretation
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 ... #Electrocardiogram ... #Clinical #Cardiology
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 ... Team @FOAMfrat #DeWinter ... #Electrocardiogram ... #diagnosis #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Criteria - Suspect STEMI ... V1-V3 c) STE ... Diagnosis #Checklist #EKG ... #electrocardiogram ... #ecg #cardiology
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
for proximal LAD occlusion ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology ... #electrocardiogram
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
occur with subtle STE ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #DeWinters ... #STWaves #Occlusion
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
pain Computer interpretation ... 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 ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram