16 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
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion
unforgettable ECG ... coronary occlusion #Diagnosis ... #Cardiology #EKG ... Occlusion #Wellens #DeWinter ... #Sgarbossa #STEMI
De Winter's T Waves - Acute Sign of Proximal LAD Occlusion #Diagnosis #Cardiology #EKG #ECG #DeWinters
Sign of Proximal LAD ... Occlusion #Diagnosis ... #Cardiology #EKG ... #ECG #DeWinters
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 ... Ischemia #TWaves #DeWinter
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... before or after STEMI ... Team @FOAMfrat #DeWinter ... Electrocardiogram #diagnosis ... #cardiology
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
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
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