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

1) Upsloping
De Winter T Wave ... ECG Pattern STEMI ... precordial leads #DeWinter
Patterns of Ischemia T-Waves on ECG

However, there are more kinds of ischemia than just STEMI and
ischemia than just STEMI ... Cardiology #ECG #EKG #NSTEMI ... Ischemia #TWaves #DeWinter
11 unforgettable ECG patterns strongly suggestive of coronary occlusion #Diagnosis #Cardiology #EKG #ECG #Patterns #Coronary #Occlusion
Occlusion #Wellens #DeWinter ... #Sgarbossa #STEMI
De Winter T-Waves on EKG
 - Anterior OMI
 - 2% of left anterior descending occlusions
 -
De Winter T-Waves ... occlusions - De Winter ... before or after STEMI ... Team @FOAMfrat #DeWinter
Approach to ECGs - Ischemia
MI = Biomarkers + ECG or echo/angiogram findings
Pathologic Q - 1/3 height
new/old infarct STEMI ... • DDx: Acute STEMI ... big R or R/S>I STEMI ... bigger than QRS - deWinter ... electrocardiogram #cardiology #STEMI
De Winter T Wave on ECG

Diagnostic Criteria
 - Tall, prominent, symmetric T waves in the precordial
De Winter T Wave ... aVR - “Normal” STEMI ... or follow the deWinter ... pattern #DeWinter
ECGofTheDay - What is the most likely diagnosis? What is this finding called? 

...

The combination of
referred to as the De Winter ... occur with subtle STE ... be considered a STEMI ... Cardiology #EKG #ECG #DeWinters
De Winter's T Waves

Concerning for proximal LAD occlusion (Present in 2% of patients)
 • Upsloping ST-Depression
V1-V4 without STE ... leads V1-V4 • STE ... aVR ± aVL #DeWinters