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

1) Upsloping
ECG Pattern STEMI ... descending (LAD) occlusion ... elevation in aVR ... precordial leads #DeWinter ... Electrocardiogram #Diagnosis #Cardiology
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
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anterior descending occlusions ... before or after STEMI ... elevation in aVR ... #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
Note there is ST depression in aVR, a true sign of Left Main occlusion.  Many
sign of Left Main occlusion ... is a good ECG sign ... #Clinical #EM #IM ... #Cardiology #EKG ... #STElevations #
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... So ANY ST Elevation ... STEMI Criteria misses ... #Total #ECG #EKG ... Electrocardiogram #Clinical #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 ... STEMI - Elevation ... J point • De Winter ... #Equivalents #ECG ... #differential #cardiology
Left Main Coronary Artery Thrombus seen on Angiography

“Mother of all coronary thrombi”.  55 year old
Anterior wall STEMI ... Cardiogenic shock, ECG ... predicted Left main occlusion ... LMCA #Angiogram #CathLab ... #clinical #cardiology
Now there is additional ST elevation in lateral leads, also diagnostic of STEMI. #Clinical #EM #Cardiology
is additional ST ... elevation in lateral ... diagnostic of STEMI ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior
There is inferior ST elevation with reciprocal ST depression in aVL and  in lead I,
elevation with ... suggestive of STEMI ... elevation in V1 ... #Clinical #EM #Cardiology ... #EKG #STEMI #Inferior