First reported by de Winter in 2008, the de Winter ECG pattern is an anterior STEMI equivalent that presents without obvious ST segment elevation
With worked examples in the next three posts, we look at ways to recognise early ECG features of OMI before waiting for a "STEMI" to evolve
With a great case example, we discuss diagnosing OMI in the presence of intraventricular conduction delay and/or prior anterior myocardial infarction
Anterior STEMI usually results from occlusion of the left anterior descending (LAD) artery and carries the poorest prognosis of all infarct territories
A 64 year old man attends the ED after developing chest pain radiating to the jaw and right arm while playing tennis. The pain has now been present for nearly half an hour and continues unabated. Describe his ECG
the case. a 52 year old male presents to your Emergency Department with more than 24 hours of typical sounding, retrosternal chest pain.