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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... descending (LAD) occlusion ... #TWaves #ECG #EKG ... #Electrocardiogram
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... anterior descending occlusions ... or after STEMI ... #TWaves #EKG #ECG ... #Electrocardiogram
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... Criteria - Tall ... aVR - “Normal” STEMI ... #TWaves #ECG #EKG ... #Clinical #Electrocardiogram
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 • Posterior MI
without meeting ST ... elevation criteria ... • Hyperacute T Waves ... MyocardialInfarction #OMI #STEMI ... diagnosis #cardiology #electrocardiogram
Here’s an ECG of a patient with 100% Acute LAD Occlusion

Remember that RBBB normally has ST
Here’s an ECG of ... 100% Acute LAD Occlusion ... STEMI Criteria misses ... EM_RESUS #LAD #Occlusion ... #Electrocardiogram
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
combination of ST ... ECG pattern. ... be considered a STEMI ... #ECG #DeWinters ... #STWaves #Occlusion
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
for proximal LAD occlusion ... • Upsloping ST-Depression ... aVR ± aVL #DeWinters ... #TWaves #EKG #ECG ... diagnosis #cardiology #electrocardiogram
STEMI Equivalents on ECG
 • Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG • Conventional ... J point • De Winter ... • Sgarbossa criterion ... #Equivalents #ECG ... differential #cardiology #electrocardiogram
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
Approach to ECGs ... = Biomarkers + ECG ... bigger than QRS - deWinter ... #Ischemia #ECG ... #electrocardiogram
Lead AVR on ECG
1. Acute myocardial infarction: ST elevation > 1.5 mm in aVR, indicative of
Lead AVR on ECG ... Pericarditis: PR ... • Vereckei criteria ... than Brugada criteria ... #electrocardiogram