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

1) Upsloping
Pattern STEMI ... ) occlusion ... elevation in aVR ... #Diagnosis #Cardiology ... #Criteria
Lead aVR on EKG
Lead aVR can provide some unique insight into 5 different conditions:

 - Acute
Lead aVR on EKG ... Lead aVR can provide ... from SVT with aberrancy ... #Diagnosis #Cardiology ... #EKG #ECG #Lead
Left Main Coronary Artery Occlusion on ECG

- aVR ST segment elevation > 1 mm 
- aVR
Coronary Artery Occlusion ... on ECG - aVR ... > 1 mm - aVR ... Electrocardiogram #Cardiology ... #Criteria
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
with 100% Acute LAD ... Occlusion Remember ... STEMI Criteria misses ... @EM_RESUS #LAD ... #Clinical #Cardiology
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
Acute Occlusion ... without meeting ST ... elevation criteria ... MyocardialInfarction #OMI #STEMI ... equivalent #diagnosis #cardiology
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... supraventricular tachycardia (SVT ... than Brugada criteria ... #AVR #leadAVR #ecg ... #differential #cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
anterior descending occlusions ... before or after STEMI ... elevation in aVR ... #ECG #Electrocardiogram ... #diagnosis #cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
have no pain - LAD ... inversion - STE avR ... - proximal LAD ... #Ischemia #ECG ... electrocardiogram #cardiology
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
occlusion (Present ... • Upsloping ST-Depression ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology
High Lateral STEMI - D1 of LAD

There is transmural injury isolated to I & aVL. These
High Lateral STEMI ... isolated to I & aVL ... similar but this ST ... 100% proximal occlusion ... #Cardiology #Clinical