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

1) Upsloping
ECG Pattern STEMI ... Equivalent - Left anterior ... descending (LAD ... #ECG #EKG #Electrocardiogram ... #Diagnosis #Cardiology
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
Wellen's Syndrome ... stenosis of the left anterior ... descending (LAD ... #EKG #ECG #Electrocardiogram ... #Diagnosis
Wellens' Sign: LAD-T Wave Inversion 
Life threatening T wave inversions in precordial leads. Often V2-V3 
Specific
Wellens' Sign: LAD-T ... becoming acute anterior ... #Wellens #Sign # ... EKG #ECG #Electrocardiogram ... #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
on EKG - Anterior ... - 2% of left anterior ... before or after STEMI ... #EKG #ECG #Electrocardiogram ... #diagnosis #cardiology
Wellens Syndrome on EKG
Associated with a critical stenosis of the proximal LAD, suggestive of impending infarction
-
Wellens Syndrome ... of the proximal LAD ... #ecg #cardiology ... #electrocardiogram ... #diagnosis
Left Anterior Fascicular Block on EKG
 • Left axis deviation (LAD) (-45 degrees to -90 degrees)
axis deviation (LAD ... in leads I and aVL ... Fascicular #Block #diagnosis ... #cardiology #EKG ... #ECG #Electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
STE in avR - Wellen's ... inversion in avL ... #EKG #diagnosis ... #electrocardiogram ... #cardiology #STEMI
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
ratio > 1 in V2 • Wellens ... chest pain • Wellens ... of the leads l, aVL ... #EKG #diagnosis ... #electrocardiogram
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
Concerning for proximal LAD ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology ... #electrocardiogram
Benign T-wave Inversion (BTWI) vs. Wellens'
 • Usually in leads V3-V6 (vs. V2-V4 in Wellens'), but
V2-V4 in Wellens ... frequent TWI in inferior ... Inversion #BTWI #EKG ... #ECG #diagnosis ... #cardiology #electrocardiogram