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Evolving De Winter Presentation Of Acute Myocardial Infarction, Caroline Shepherd, Anthony Furiato May 2020

Evolving De Winter Presentation Of Acute Myocardial Infarction, Caroline Shepherd, Anthony Furiato

West Florida Division Virtual Research Day 2020

de Winter ECG pattern first detailed in 2008 in a case series Diagnostic criteria

  • Tall, prominent, symmetric T waves in the precordial leads
  • Upsloping ST segment depression >1mm at the J-point in the precordial leads
  • Absence of ST elevation in the precordial leads
  • ST segment elevation (0.5mm-1mm) in aVR

Strongly correlated with acute LAD occlusion

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