ECG Quest > Shapes > T and U waves > De Winter T waves

De Winter T waves

De Winter’s T waves are defined by upsloping ST depression to symmetrical hyperacute T waves in the chest leads. It is a specific sign for acute anterior infarction. They may also occur in any coronary distribution.

See also: T and U waves

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In the ECGquest archives, this ECG has been tagged with: - De Winter T waves Hyperacute T waves Acute Anterior MI 12-Lead Dr Smith's ECG Blog CC BY-NC
Doctor, should we activate the hospital’s “STEMI alert”?

This ECG is from a woman in her 50s who presented with chest pain.

This ECG shows hyperacute T waves with de Winter's pattern in V3-5, due to a 100% proximal occlusion of the LAD.

In the ECGquest archives, this ECG has been tagged with: - Chest pain De Winter T waves Acute Anterior MI 12-Lead Dr Smith's ECG Blog CC BY-NC
Anterior STEMI Evolves to de Winter’s T-waves – repeat ECG

This ECG is from a middle aged man who presented with chest pain. This was the repeat ECG 40 min after arrival.

This ECG shows anterior De Winter T waves. Earlier ST elevation has all but resolved, likely due to transient reperfusion. The cause was a 100% proximal LAD occlusion.

In the ECGquest archives, this ECG has been tagged with: - Chest pain De Winter T waves Spontaneous coronary artery dissection 12-Lead Dr Smith's ECG Blog CC BY-NC
An athletic 30-something woman with acute substernal chest pressure

This ECG is from an athletic woman in her 30s who presented with 1.5 hours of substernal chest pressure and nausea. She had no risk factors for ischemia. This was her initial ECG.

In the ECGquest archives, this ECG has been tagged with: - Chest pain De Winter T waves Spontaneous coronary artery dissection 12-Lead Serial 12-lead Dr Smith's ECG Blog CC BY-NC
An athletic 30-something woman with acute substernal chest pressure: repeat ECG with pain resolving 44 min later

This ECG is from an athletic woman in her 30s who presented with 1.5 hours of substernal chest pressure and nausea. She had no risk factors for ischemia. This was the repeat ECG 44 min later as the pain was resolving after nitroglycerine.

In the ECGquest archives, this ECG has been tagged with: - Chest pain Hypotension Normal Axis De Winter T waves Narrow QRS Normal PR Upsloping ST depression Spontaneous coronary artery dissection Acute Anterior MI 12-Lead ECG of the Week Dr John Larkin CC-BY-NC-SA
ECG of the Week – 8th January 2018 – Interpretation

This ECG is from a woman in her 30s presented following a collapse 5 days post-partum. On arrival to the Emergency Department she was hypotensive ( systolic BP ~80 mmHg) with an altered conscious level, complaining of chest pain and headache.