Cardiovascular Medicine Book

Coronary Artery Disease

Congestive Heart Failure

Circulatory Disorders

Electrocardiogram

Valvular Disease

Hypertension

Physiology

Hypotension

Pediatrics

Symptoms

Pericardial Disorders

Vitals

Dermatology

Pharmacology Chapter related topics

//fpnotebook.com/

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
      1. http://www.emdocs.net/hyperacute-t-waves/
    2. Life in the fast Lane
      1. https://litfl.com/de-winter-t-wave-ecg-library/
  7. References
    1. de Winter (2008) N Engl J Med 359(19):2071-3 +PMID:18987380

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree