cardiology emergency-medicine
de Winter ECG Pattern for Proximal LAD Occlusion
de Winter's ECG pattern: STEMI-equivalent caused by proximal LAD occlusion but without ST elevation. Characterised by upsloping ST depression + tall peaked T waves in precordial leads. Requires immediate reperfusion.
References
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators
- Fridericia Corrected QT Interval (QTcF) · ECG Interpretation
- Modified Sgarbossa's Criteria (Smith Modification) for MI in LBBB · ECG Interpretation
- Brugada Phenocopy Score · ECG Interpretation
- Wellens Syndrome ECG Pattern · ECG Interpretation
- Lead aVR Sign for Left Main / Proximal LAD Occlusion · ECG Interpretation
Drugs
- Labetalol (IV — Hypertensive Emergency) · Combined Alpha-1 and Beta-Adrenergic Blocker
- Alteplase (STEMI Thrombolysis) · Thrombolytic / STEMI
- Streptokinase (STEMI Thrombolysis) · Thrombolytic / STEMI
- Labetalol (IV — Hypertensive Emergency) · Combined alpha and beta blocker
- Tenecteplase · Cardiovascular Emergency
- Tirofiban · Cardiovascular Emergency
Pathways
- Acute Heart Failure · ESC 2021 Heart Failure Guidelines; NICE NG106
- NSTEMI / Unstable Angina · ESC 2020 NSTEMI Guidelines; NICE NG185
- New-Onset Atrial Fibrillation · ESC 2020 AF Guidelines; NICE NG196
- Hypertensive Emergency · ESC/ESH 2018 Hypertension Guidelines; NICE NG136
- Bradycardia Management · Resuscitation Council UK ABCDE; ESC 2021 Pacing Guidelines
- Ventricular Tachycardia / Fibrillation · Resuscitation Council UK ACLS; ESC 2022 Ventricular Arrhythmia Guidelines
Decision support only — verify against MDCalc, NICE, or your local guideline before clinical use.