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

1) Upsloping
Winter T Wave ECG ... Pattern STEMI ... Equivalent - Left ... DeWinter #TWaves #ECG ... #EKG #Electrocardiogram
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
Winter T-Waves on EKG ... - 2% of left anterior ... STEMI - look for ... DeWinter #TWaves #EKG ... #ECG #Electrocardiogram
Wellen's Syndrome 
Type A - Biphasic T wave 
Type B - Deeply inverted T wave
specific for a critical ... stenosis of the left ... anterior descending ... (LAD) coronary artery ... #EKG #ECG #Electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
= Biomarkers + ECG ... Equivalents / Don't ... #Ischemia #ECG ... #EKG #diagnosis ... #STEMI #Equivalents
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
It starts as sinus ... with probable inferior ... STEMI, but becomes ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
STEMI Equivalents ... on ECG • Conventional ... at (or 40-60 ms after ... #Equivalents #ECG ... #EKG #diagnosis
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Artery Thrombus ... old male with Anterior ... wall STEMI, in ... Cardiogenic shock, ECG ... Angiogram #CathLab #clinical
Causes of ST Segment Elevation - Differential Diagnosis Framework

STEMI:
 • Upsloping convex STE: "Pardee's sign" +
Diagnosis Framework STEMI ... Abnormalities • Left ... leads V5-6 • Left ... • Epicardial artery ... #ecg #ekg #electrocardiogram
Preoperative Risk Evaluation

Major Pre-Op Questions:
1. Does the patient have any modifiable risk factors that could be
Highest metabolic equivalent ... indicated • EKG ... Obtain EKG if: ... Change in clinical ... Intraabdominal - Orthopedic