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

1) Upsloping
ECG Pattern STEMI ... anterior descending (LAD ... precordial leads #DeWinter ... Electrocardiogram #Diagnosis ... #Cardiology #Criteria
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
bigger than QRS - deWinter ... have no pain - LAD ... wave inversion in avL ... #EKG #diagnosis ... electrocardiogram #cardiology
Wraparound LAD STEMI on EKG
47 year old with chest pain. Ectopic atrial rhythm with ST elevations.
Wraparound LAD STEMI ... The mother of all ... a PFO during a bowel ... #STEMI #EKG #clinical ... #cardiology #electrocardiogram
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... Algorithm The ... segment is the only ECG ... #Algorithm #cardiology ... myocardial #infarction #diagnosis
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
the most likely diagnosis ... in 2% of acute LAD ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #DeWinters
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
Concerning for proximal LAD ... -V4 • STE in lead ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
Ischemic Symptoms  EKG ... evidence of AMI (STEMI ... ACTIVATE CATH LAB ... DCSI #Initiative #Management ... #Cardiology
In July 2015 the ACC/AHA proposed and published an algorithm to help stratify cardiac arrest patients
July 2015 the ACC ... emergent cath lab ... Comatose #CathLab #NSTEMI ... Stratfication #Management ... #Cardiology #CriticalCare
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... J point • De Winter ... of the leads l, aVL ... #EKG #diagnosis ... #differential #cardiology
HFpEF and CAD Management Algorithm
1. Consider revascularization based on current guidelines for CAD and HFpEF*
2. Statins:
HFpEF and CAD Management ... Algorithm 1. ... current guidelines (eg ... #Management #Algorithm ... #cardiology