Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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9 results
De Winter T Wave ECG Pattern 
STEMI Equivalent - Left anterior descending (LAD) occlusion 

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... #TWaves #ECG #EKG ... Electrocardiogram #Diagnosis ... #Cardiology #Criteria
Patterns of Ischemia T-Waves on ECG

However, there are more kinds of ischemia than just STEMI and
ischemia than just STEMI ... #Diagnosis #Cardiology ... #ECG #EKG #NSTEMI ... Ischemic #Ischemia #TWaves ... #DeWinter #Wellens
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... before or after STEMI ... #TWaves #EKG #ECG ... Electrocardiogram #diagnosis ... #cardiology
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... on ECG Diagnostic ... Criteria - Tall ... aVR - β€œNormal” STEMI ... #TWaves #ECG #EKG
3 ECG patterns for Acute Occlusion MI (OMI) without meeting ST elevation criteria
 β€’ Posterior MI
meeting ST elevation criteria ... β€’ Hyperacute T Waves ... MyocardialInfarction #OMI #STEMI ... #equivalent #diagnosis ... #ecg #ekg
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 ... #EKG #diagnosis ... electrocardiogram #cardiology
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
the most likely diagnosis ... ECG pattern. ... be considered a STEMI ... MusaSharkawi #Clinical #Cardiology ... #EKG #ECG #DeWinters
STEMI Equivalents on ECG
 β€’ Conventional STEMI - Elevation of ST segment at (or 40-60 ms
on ECG β€’ Conventional ... J point β€’ De Winter ... #Equivalents #ECG ... #EKG #diagnosis ... #differential #cardiology
Modified Sgarbossa Criteria - Diagnostic Checklist for diagnosing MI in LBBB or Pacemaker
1) Identify LBBB or
- Diagnostic Checklist ... for diagnosing ... - Suspect STEMI ... electrocardiogram #ecg ... #cardiology #lbbb