De Winter's T waves: Difference between revisions
Neil.m.young (talk | contribs) (ECG added) |
Neil.m.young (talk | contribs) (link added) |
||
| Line 23: | Line 23: | ||
*[[ST-Elevation Myocardial Infarction (STEMI)]] | *[[ST-Elevation Myocardial Infarction (STEMI)]] | ||
*[[Wellens' syndrome]] | *[[Wellens' syndrome]] | ||
*[[STEMI equivalents]] | |||
==External Links== | ==External Links== | ||
Revision as of 22:57, 18 March 2015
de Winter's T-waves as described below from his NEJM editorial[1]
Background
- First identified in 2008 by Dr. de Winter found a characteristic patterns in 30 of his 1532 patient database of anterior MI
- 2% of proximal LAD occlusions will have this presentation
- de Winter T-waves is a proposed STEMI-equivalent proposed by the AHA[2]
Diagnostic Features
- Precordial ST-segment depression at the J-point
- Tall, peaked, symmetric T waves in the precordial leads
- Lead aVR shows slight ST-segment elevation in most cases
Differential Diagnosis
Management
- Rapid recognition of pattern
- Cath lab activation
- Education of consultants may be necessary due to unfamiliarity
See Also
- Acute Coronary Syndrome (Main)
- ST-Elevation Myocardial Infarction (STEMI)
- Wellens' syndrome
- STEMI equivalents