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ECG Surprise Attack!: de Winter Aches and Pains

  • Nicholas S. Fern
  • Amal MattuEmail author
Chapter

Abstract

There are some ECG patterns that are not classically considered as STEMIs but represent what can be called STEMI equivalents as they portend significant potential for progression to infarctions. The de Winter ECG pattern is an electrocardiographic pattern found in some patients presenting with ischemic chest pain. The pattern is associated with acute proximal LAD occlusion lacking anterior STE on ECG and places the patient at considerable risk for progression to an extensive anterior wall myocardial infarction.

Keywords

deWinter EKG  STEMI equivalent  Chest pain 

Notes

Disclosure Statement

The authors of this chapter report no significant disclosures.

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.The Queen’s Medical CenterHonoluluUSA
  2. 2.Department of Emergency MedicineUniversity of Maryland School of MedicineBaltimoreUSA

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