De Winter's T Wave

Review of DeWinter's Waves from LITFL.  Also check out Amal Mattu's video.
BLUF: This is a STEMI equivalent that can represent acute occlusion of the LAD that needs to be treated immediately.

Pattern:

• ​Seen in precordial leadsd
  • ST segment depression > 1mm with upsloping
  • Tall, symmetric T waves
• May see subtle ST segment elevation in aVR
• Can precede or be followed by classic STEMI pattern

Copa Cardiogram #45