14 results
Patterns of Ischemia T-Waves on ECG

However, there are more kinds of ischemia than just STEMI and
than just STEMI ... #Diagnosis #Cardiology ... #ECG #EKG #NSTEMI ... #TWaves #DeWinter ... #HyperacuteT #Table
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
ECG Pattern STEMI ... descending (LAD) occlusion ... precordial leads #DeWinter ... Electrocardiogram #Diagnosis #Cardiology ... #Criteria
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
anterior descending occlusions ... before or after STEMI ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG ... Electrocardiogram #diagnosis #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
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
100% Acute LAD Occlusion ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... #Total #ECG #EKG ... Electrocardiogram #Clinical #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
- Ischemia MI ... Miss Signs of Ischemia ... bigger than QRS - deWinter ... #ECG #EKG #diagnosis ... electrocardiogram #cardiology
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
combination of ST ... ECG pattern. ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #DeWinters
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... deviation) • Acute ischemia ... #Equivalents #ECG ... #differential #cardiology
DETROIT CARDIOGENIC SHOCK INITIATIVE ALGORITHM

INCLUSION CRITERIA
Acute Myocardial Infarction
 Ischemic Symptoms
 EKG and/or biomarker evidence of AMI
CRITERIA Acute ... Infarction  Ischemic ... Symptoms  EKG ... evidence of AMI (STEMI ... Initiative #Management #Cardiology
ECG of a 55-year-old man who presented to the ER with chest pain 
Computer interpretation: “Nonspecific
: “Nonspecific ST ... pattern of Acute RCA Occlusion ... InferoPosterior transmural ischemia ... #Clinical #Cardiology ... #EKG #STEMI #InferoPosterior