De Winter's T waves - Revision history

Blsimpso: /* External Links */

2021-07-01T21:03:42Z

External Links

← Older revision		Revision as of 21:03, 1 July 2021
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	==External Links==		==External Links==
	*[http://ekgumem.tumblr.com/post/19233090476/what-are-de-winter-t-waves-episode What are “de Winter T-waves”?]		*[http://ekgumem.tumblr.com/post/19233090476/what-are-de-winter-t-waves-episode What are “de Winter T-waves”?]
			*[https://litfl.com/de-winter-t-wave-ecg-library/ LITFL - De Winter T Wave]

	==References==		==References==

ClaireLewis: /* Evaluation */

2019-09-24T18:41:37Z

Evaluation

← Older revision		Revision as of 18:41, 24 September 2019
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	*[[Troponin]]		*[[Troponin]]
	*CBC, metabolic panel		*CBC, metabolic panel
	*CXR		*[[CXR]]

	==Management==		==Management==

Rossdonaldson1: Text replacement - "Troponin" to "Troponin"

2019-07-01T20:54:33Z

Text replacement - "*Troponin" to "*Troponin"

← Older revision		Revision as of 20:54, 1 July 2019
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	==Evaluation==		==Evaluation==
	*EKG		*EKG
	*Troponin		*[[Troponin]]
	*CBC, metabolic panel		*CBC, metabolic panel
	*CXR		*CXR

Mholtz at 17:41, 28 June 2017

2017-06-28T17:41:03Z

← Older revision		Revision as of 17:41, 28 June 2017
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	==Differential Diagnosis==		==Differential Diagnosis==
	{{Peaked T-waves DDX}}		{{Peaked T-waves DDX}}

			==Evaluation==
			*EKG
			*Troponin
			*CBC, metabolic panel
			*CXR

	==Management==		==Management==
	*Rapid recognition of pattern		*Rapid recognition of pattern
	*Cath lab activation (education of consultants may be necessary due to unfamiliarity)		*Cath lab activation (education of consultants may be necessary due to unfamiliarity)

			==Disposition==
			*Admit

	==See Also==		==See Also==

Alvarez13: /* Background */

2017-03-20T00:52:19Z

Background

← Older revision		Revision as of 00:52, 20 March 2017
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	*2% of proximal LAD occlusions will have this presentation		*2% of proximal LAD occlusions will have this presentation
	*Represents an acute proximal occlusion (unlike Wellen's sign which represents a subacute process)		*Represents an acute proximal occlusion (unlike Wellen's sign which represents a subacute process)
	*Proposed STEMI-equivalent<ref>Rokos I, et al. Appropriate cardiac cath lab activation: optimizing electrocardiogram interpretation and clinical decision-making for acute ST-elevation myocardial infarction. Am Heart J. 2010;160:995–1003.</ref>		*Proposed [[STEMI]]-equivalent<ref>Rokos I, et al. Appropriate cardiac cath lab activation: optimizing electrocardiogram interpretation and clinical decision-making for acute ST-elevation myocardial infarction. Am Heart J. 2010;160:995–1003.</ref>

	[[File:Dewinter.jpg\|thumb\|DeWinter T Waves]]		[[File:Dewinter.jpg\|thumb\|DeWinter T Waves]]

Mholtz at 22:46, 1 September 2016

2016-09-01T22:46:57Z

← Older revision		Revision as of 22:46, 1 September 2016
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	==See Also==		==See Also==
	*[[Acute ~~Coronary Syndrome~~ (~~Main~~)]]		*[[Acute coronary syndrome (main)]]
	*[[ST-~~Elevation Myocardial Infarction~~ (STEMI)]]		*[[ST-segment elevation myocardial infarction (STEMI)]]
	*[[Wellens' syndrome]]		*[[Wellens' syndrome]]
	*[[STEMI equivalents]]		*[[STEMI equivalents]]

Mholtz at 22:45, 1 September 2016

2016-09-01T22:45:50Z

← Older revision		Revision as of 22:45, 1 September 2016
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	~~''de Winter's T-waves as described below from his NEJM editorial<ref>de Winter R, et al. A new ECG sign of proximal LAD occlusion. NEJM. 2008; 359:2071–2073.</ref>''~~

	==Background==		==Background==
	*First identified in 2008 by Dr. ~~de Winter found a~~ characteristic ~~patterns~~ in 30 of his 1532 patient database of anterior MI		*First identified in 2008 by Dr. DeWinter - characteristic pattern in 30 of his 1532-patient database of anterior MI<ref>de Winter R, et al. A new ECG sign of proximal LAD occlusion. NEJM. 2008; 359:2071–2073.</ref>
	*2% of proximal LAD occlusions will have this presentation		*2% of proximal LAD occlusions will have this presentation
	*~~Unlike~~ Wellen's which ~~refers to~~ a subacute process~~, these T waves are an acute proximal occlusion~~		*Represents an acute proximal occlusion (unlike Wellen's sign which represents a subacute process)
	*~~de Winter T-waves is a proposed~~ STEMI-equivalent ~~proposed by the AHA~~<ref>Rokos I, et al. Appropriate cardiac cath lab activation: optimizing electrocardiogram interpretation and clinical decision-making for acute ST-elevation myocardial infarction. Am Heart J. 2010;160:995–1003. </ref>		*Proposed STEMI-equivalent<ref>Rokos I, et al. Appropriate cardiac cath lab activation: optimizing electrocardiogram interpretation and clinical decision-making for acute ST-elevation myocardial infarction. Am Heart J. 2010;160:995–1003.</ref>

			[[File:Dewinter.jpg\|thumb\|DeWinter T Waves]]

	==Clinical Features==		==Clinical Features==
	#Precordial ST-segment depression at the J-point, 1-3 mm		*Precordial ST-segment depression at the J-point, 1-3 mm
	#Tall, peaked, symmetric T waves in the precordial leads		*Tall, peaked, symmetric T waves in the precordial leads
	#Lead aVR shows slight ST-segment elevation in most cases		*Lead aVR shows slight ST-segment elevation in most cases
	~~[[File:Dewinter.jpg\|400px]]~~

	==Differential Diagnosis==		==Differential Diagnosis==
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	==Management==		==Management==
	*Rapid recognition of pattern		*Rapid recognition of pattern
	*Cath lab activation		*Cath lab activation (education of consultants may be necessary due to unfamiliarity)
	*Education of consultants may be necessary due to unfamiliarity

	==See Also==		==See Also==
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	==External Links==		==External Links==
	[http://ekgumem.tumblr.com/post/19233090476/what-are-de-winter-t-waves-episode What are “de Winter T-waves”?]		*[http://ekgumem.tumblr.com/post/19233090476/what-are-de-winter-t-waves-episode What are “de Winter T-waves”?]

	==References==		==References==

Alvarez13 at 05:26, 31 August 2016

2016-08-31T05:26:39Z

← Older revision		Revision as of 05:26, 31 August 2016
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	*First identified in 2008 by Dr. de Winter found a characteristic patterns in 30 of his 1532 patient database of anterior MI		*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		*2% of proximal LAD occlusions will have this presentation
			*Unlike Wellen's which refers to a subacute process, these T waves are an acute proximal occlusion
	*de Winter T-waves is a proposed STEMI-equivalent proposed by the AHA<ref>Rokos I, et al. Appropriate cardiac cath lab activation: optimizing electrocardiogram interpretation and clinical decision-making for acute ST-elevation myocardial infarction. Am Heart J. 2010;160:995–1003. </ref>		*de Winter T-waves is a proposed STEMI-equivalent proposed by the AHA<ref>Rokos I, et al. Appropriate cardiac cath lab activation: optimizing electrocardiogram interpretation and clinical decision-making for acute ST-elevation myocardial infarction. Am Heart J. 2010;160:995–1003. </ref>

Neil.m.young at 10:41, 28 July 2016

2016-07-28T10:41:44Z

← Older revision		Revision as of 10:41, 28 July 2016
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	*de Winter T-waves is a proposed STEMI-equivalent proposed by the AHA<ref>Rokos I, et al. Appropriate cardiac cath lab activation: optimizing electrocardiogram interpretation and clinical decision-making for acute ST-elevation myocardial infarction. Am Heart J. 2010;160:995–1003. </ref>		*de Winter T-waves is a proposed STEMI-equivalent proposed by the AHA<ref>Rokos I, et al. Appropriate cardiac cath lab activation: optimizing electrocardiogram interpretation and clinical decision-making for acute ST-elevation myocardial infarction. Am Heart J. 2010;160:995–1003. </ref>

	==~~Diagnostic~~ Features==		==Clinical Features==
	#Precordial ST-segment depression at the J-point, 1-3 mm		#Precordial ST-segment depression at the J-point, 1-3 mm
	#Tall, peaked, symmetric T waves in the precordial leads		#Tall, peaked, symmetric T waves in the precordial leads

Ostermayer: Text replacement - "Category:Cards" to "Category:Cardiology"

2016-03-22T13:53:13Z

Text replacement - "Category:Cards" to "Category:Cardiology"

← Older revision		Revision as of 13:53, 22 March 2016
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	<references/>		<references/>

	[[Category:~~Cards~~]]		[[Category:Cardiology]]