18 results
Patterns of Ischemia T-Waves on ECG

However, there are more kinds of ischemia than just STEMI and
Ischemia T-Waves on ECG ... ischemia than just STEMI ... Diagnosis #Cardiology #ECG ... #EKG #NSTEMI #Ischemic ... Ischemia #TWaves #DeWinter
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion
unforgettable ECG ... Diagnosis #Cardiology #EKG ... #ECG #Patterns ... Occlusion #Wellens #DeWinter ... #Sgarbossa #STEMI
De Winter's T Waves - Acute Sign of Proximal LAD Occlusion #Diagnosis #Cardiology #EKG #ECG #DeWinters
Waves - Acute Sign ... Diagnosis #Cardiology #EKG ... #ECG #DeWinters
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... Equivalents / Don't Miss Signs ... bigger than QRS - deWinter ... #EKG #diagnosis
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... precordial leads #DeWinter ... #TWaves #ECG #EKG
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
Winter T-Waves on EKG ... before or after STEMI ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
in aVR, a true sign ... aVR is a good ECG ... sign of left main ... IM #Cardiology #EKG ... #STElevations #STE
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
the De Winter ECG ... occur with subtle STE ... be considered a STEMI ... Clinical #Cardiology #EKG ... #ECG #DeWinters
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
V1-V4 without STE ... leads V1-V4 • STE ... aVR ± aVL #DeWinters ... #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