de Winter ST/T wave complex,代表的是proximal LAD totalocclusion, From Robbert J. de Winter (N Engl J Med 2008; 359:2071-2073 ) 1. ST depression >1mm up-sloping at the J point in leads V1-V6, that is continued into tall, positive, symmetric T waves. The tall symmetric T wave persisted until preprocedual ECG was performed and angiographic evidence of occluded LAD obtained (i.e., 30-50mins) 2. Normal QRS duration or only slightly widened 3. In some patients, loss of precordial R-wave progression 4. In most patients, 1- to 2-mm ST-elevation in lead aVR 這樣的ECG 表現約占前壁梗塞患者的2% 病人應接受緊急心導管檢查及治療。 |
最新消息 >