Evolving de Winter Presentation of Acute Myocardial Infarction

Authors

Caroline Shepherd, HCA HealthcareFollow
Anthony Furiato, HCA HealthcareFollow

Files

Division

West Florida

Hospital

Brandon Regional Hospital

Specialty

Emergency Medicine

Document Type

Poster

Publication Date

5-2020

Keywords

myocardial infarction, de Winter, ECG, LAD occlusion, ACS, heart attack, STEMI

Disciplines

Cardiology | Cardiovascular Diseases | Emergency Medicine

Abstract

de Winter ECG pattern first detailed in 2008 in a case series Diagnostic criteria

• Tall, prominent, symmetric T waves in the precordial leads
• Upsloping ST segment depression >1mm at the J-point in the precordial leads
• Absence of ST elevation in the precordial leads
• ST segment elevation (0.5mm-1mm) in aVR

Strongly correlated with acute LAD occlusion

Recommended Citation

Shepherd, Caroline and Furiato, Anthony, "Evolving de Winter Presentation of Acute Myocardial Infarction" (2020). West Florida Division GME Research Day 2020. 34.
https://scholarlycommons.hcahealthcare.com/westflorida2020/34