Eponymous ECG's

De Winter ECG

An example of 12 lead De Winter ECG

The De Winter ECG is sometimes seen in myocardial infarction with proximal LAD occlusion. It is rather rare (2% of cases). There is no anterior ST segment elevation. Instead the ST segment shows a 1- to 3-mm upsloping ST-segment depression at the J point in leads V1 to V6 that continues into tall, positive symmetrical T waves. The QRS complexes are usually not widened or only slightly widened, and sometimes there is a loss of precordial R-wave progression. In most patients there is a 1- to 2-mm ST-elevation in lead aVR. [1]

References

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1. dewinter pmid=18987380

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