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

1) Upsloping
Pattern STEMI ... anterior descending (LAD ... ) occlusion ... precordial leads #DeWinter ... #TWaves #ECG #EKG
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 ... - Upsloping ST segment ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... that RBBB normally ... isolectric ST segment ... STEMI Criteria misses ... #Clinical #Cardiology
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
Concerning for proximal LAD ... occlusion (Present ... #DeWinters # ... TWaves #EKG #ECG ... #diagnosis #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
bigger than QRS - deWinter ... have no pain - LAD ... in V1, unless LBBB ... electrocardiogram #cardiology ... #Interpretation
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
in 2% of acute LAD ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #DeWinters ... #STWaves #Occlusion
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... lead placement ... morphology similar to LBBB ... differential #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
in V1 (deep S waves ... Criteria - Suspect STEMI ... V1-V3 c) STE ... Diagnosis #Checklist #EKG ... #cardiology #lbbb