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