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ECGofTheDay - What is the most likely diagnosis? What is this finding called? ... The combination of ST depression with rocket-shaped T waves in the precordial leads V1-6 is referred to as the De Winter ECG pattern. May occur with subtle STE in aVR. Seen in 2% of acute LAD occlusion. It should be considered a STEMI equivalent. - Dr. Musa A. Sharkawi @MusaSharkawi #Clinical #Cardiology #EKG #ECG #DeWinters #STWaves #Occlusion #RocketShaped