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

1) Upsloping
ECG Pattern STEMI ... ST elevation in aVR ... precordial leads #DeWinter ... #Electrocardiogram ... #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... before or after STEMI ... ST elevation in aVR ... #Electrocardiogram ... #diagnosis #cardiology
The electrocardiogram in the ACS patient: high-risk electrocardiographic presentations lacking anatomically oriented ST-segment elevation

#Diagnosis #Cardiology #ECG
The electrocardiogram ... in the ACS patient ... ST-segment elevation #Diagnosis ... #Cardiology #ECG ... #EKG #STEMI #Equivalents
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
ST elevation in ACS ... ACS vs pericarditis ... instead of ACS. ... #electrocardiogram ... #diagnosis #ekg
Suspected ACS - OMI vs STEMI - Differential Algorithm

The name STEMI cognitively inspires EPs to fail
Suspected ACS - ... OMI vs STEMI - Differential ... EMN @EMNews #ACS ... #OMI #STEMI #Differential ... myocardial #infarction #diagnosis
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
bigger than QRS - deWinter ... wave inversion in avL ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
• STE in lead aVR ... ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology ... #electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
J point • De Winter ... of the leads l, aVL ... #EKG #diagnosis ... #differential # ... cardiology #electrocardiogram
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
, not in aVL • ... , not in aVL, when ... lateral leads (I, aVL ... #diagnosis #cardiology ... #ecg #ekg #electrocardiogram
Pulmonary Embolism on ECG 

Mid 30's female with chest pain/dyspnea.  Triage EKG (no prior).
Differential/diagnosis ... See thread for POCUS ... leads (II, III, AVF ... #EKG #Electrocardiogram ... #clinical #cardiology