https://ecgvn.com/en/tags/lad-occlusion/ Recent content in Lad Occlusion on ECG Library – LITFL Basics Hugo en-us Thu, 22 Jun 2023 00:00:00 +0000 https://ecgvn.com/en/posts/de-winter-t-wave/ Thu, 22 Jun 2023 00:00:00 +0000 https://ecgvn.com/en/posts/de-winter-t-wave/ <p>First reported by Dutch Professor of Cardiology, <a href="https://litfl.com/robbert-de-winter/">Robbert J. de Winter</a> in 2008, the de Winter ECG pattern is an <strong>anterior STEMI equivalent</strong> that presents without obvious ST segment elevation. These patients are suffering <a href="https://litfl.com/omi-replacing-the-stemi-misnomer/">occlusion myocardial infarction (OMI)</a> and require immediate reperfusion therapy.</p> <h5 id="ecg-diagnostic-criteria"><strong>ECG Diagnostic Criteria</strong></h5> <ul> <li>Tall, prominent, symmetrical T waves in the precordial leads</li> <li>Upsloping ST segment depression &gt; 1mm at the <a href="https://litfl.com/j-point-ecg-library/">J point</a> in the precordial leads</li> <li>Absence of ST elevation in the precordial leads</li> <li>Reciprocal ST segment elevation (0.5mm – 1mm) in aVR</li> <li>Typical STEMI morphology may precede or follow the De Winter pattern</li> </ul> <p><a href="https://litfl.com/wp-content/uploads/2018/08/ECG-de-Winter-T-waves-V3-strip.png"><img alt="ECG de Winter T-waves V3 strip" loading="lazy" src="https://litfl.com/wp-content/uploads/2018/08/ECG-de-Winter-T-waves-V3-strip-1024x375.png"></a></p>