Cardiovascular Medicine Book




De Winter T Wave

Aka: De Winter T Wave
  1. See Also
    1. Electrocardiogram in Myocardial Infarction
    2. Acute Coronary Syndrome
    3. Acute Coronary Syndrome Immediate Management
    4. Wellens Syndrome
    5. Hyperacute T Wave
  2. Epidemiology
    1. De Winter T Waves are seen in 2% of Left Anterior Descending coronary lesions
  3. Criteria
    1. Hyperacute T Waves with J Point Depression
      1. J Point depression with upsloping ST Segment AND
      2. Tall, prominent, hyperacute precordial T Waves
    2. Other findings
      1. No ST Segment Elevation in precordial leads
      2. ST Segment Elevation in aVR
  4. Interpretation
    1. Hyperacute T Waves with J Point Depression suggests acute Occlusion of the LAD Coronary Artery
  5. Differential Diagnosis
    1. See Hyperacute T Wave
    2. Hyperkalemia
    3. ST Elevation Myocardial Infarction (STEMI)
      1. T Wave widens with increased height as an early change in STEMI, often prior to ST Elevation
  6. References
    1. emDocs
    2. Life in the fast Lane
  7. References
    1. de Winter (2008) N Engl J Med 359(19):2071-3 +PMID:18987380

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