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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... anterior descending (LAD ... #TWaves #ECG #EKG ... Electrocardiogram #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... before or after STEMI ... Team @FOAMfrat #DeWinter ... #TWaves #EKG #ECG ... Electrocardiogram #diagnosis #cardiology
Hallmark ECG features of Ventricular Tachycardia (VT)
AV indicates atrioventricular; LAD, left axis deviation; LBBB, left bundle
Ventricular Tachycardia (VT ... atrioventricular; LAD ... axis deviation; LBBB ... block; RWPT, R wave ... #Diagnosis #Cardiology
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
bigger than QRS - deWinter ... have no pain - LAD ... avR - proximal LAD ... in V1, unless LBBB ... electrocardiogram #cardiology
Approach to ECGs - VT vs. SVT - Wide Tachycardias
DDx = VT vs. SVT with BBB
All
Approach to ECGs ... SVT with BBB All ... or LBBB morphology ... #Comparison #VentricularTachycardia ... #cardiology #diagnosis
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
Concerning for proximal LAD ... • Upsloping ST-Depression ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... #diagnosis #cardiology
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
combination of ST ... in 2% of acute LAD ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #DeWinters
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... with 100% Acute LAD ... Remember that RBBB ... STEMI Criteria misses ... #Clinical #Cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
Discordance" = ST ... Criteria - Suspect STEMI ... > 25% in any lead ... electrocardiogram #ecg ... #cardiology #lbbb
LBBB Ventricular Tachycardia Criteria - Lead V1 - Telemetry Diagnosis
WCT is VT IF:
 • Initial r
Tachycardia Criteria - Lead ... Diagnosis WCT is VT ... • Initial r wave ... V1 #diagnosis #cardiology ... #ekg #ecg #telemetry