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Division

West Florida

Hospital

Brandon

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

Evolving de Winter Presentation of Acute Myocardial Infarction

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