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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... precordial leads #DeWinter ... Electrocardiogram #Diagnosis ... #Cardiology #Criteria
Acute Coronary Syndrome (ACS) Definitions - Stable Angina, Unstable Angina, NSTEMI, STEMI
1 STABLE ANGINA - Angina
Coronary Syndrome (ACS ... rapidly over a short ... - A STEMI is ... #Diagnosis #Cardiology ... Text: The Only EKG
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
bigger than QRS - deWinter ... T waves - starts ... wave inversion in avL ... #EKG #diagnosis ... electrocardiogram #cardiology
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... of the leads l, aVL ... • Sgarbossa criterion ... #EKG #diagnosis ... #differential #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
ALGORITHM INCLUSION CRITERIA ... Ischemic Symptoms  EKG ... TIMI III flow in all ... DCSI #Initiative #Management ... #Cardiology
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
- Differential Diagnosis ... Framework STEMI ... STElevation #ST #STEMI ... #differential #diagnosis ... #cardiology #ecg
Endocarditis Summary

Who?
Infectious:
• Pre-existing valvular disease
• Prosthetic valve
• Congenital heart disease
• IV substance use
• IV catheter
• Recent
nodes • Roth’s spots ... Differential Diagnosis ... -> TEE • Duke Criteria ... ↑ ESR, CRP • EKG ... #management #cardiology
Hemophagocytic Lymphohistiocytosis (HLH)

High mortality without prompt recognition and management. HLH is a critical diagnostic consideration in
recognition and management ... • In all patients ... Diagnostic Criteria ... of 8 HLH-2004 criteria ... Hematopoietic stem