Tuesday 7 July 2015

De Winter ST/T-Waves: Dấu De Winter

De Winter ST/T-Waves: Dấu De Winter
Dấu hiệu khá ít thấy trên lâm sàng, chỉ xuất hiện trong 2% các trường hợp tắc nhánh LAD nhưng lại rất đặc hiệu, khi có dấu De Winter thì nó tương đương với STEMI (nhồi máu cơ tim ST chênh lên)
Understand and identify de Winter ST/T-waves as a STEMI equivalent
De Winter ST/T-Waves
ECG abnormality described by de Winter et al. in 1998
Characterized by 1-3 mm of ST-depression with upright, symmetrical T-waves
Changes are dynamic as you would expect with ACS (see Example 3 below)
Suspicious for proximal occlusion of the LAD
Represents approximately 2% of LAD occlusions
Recognized as a STEMI equivalent by Rokos et al. in 2010

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