Acute coronary syndromes are a significant cause of morbidity and mortality. Early diagnosis has a central role in allowing a timely reperfusion strategy. The de Winter electrocardiogram pattern is a finding that, in a proper setting, is highly suggestive of acute occlusion of the left anterior descending artery. This electrocardiogram finding consists of an ST-segment upsloping depression at the J point of 1 to 3 mm in leads V1 to V6, associated with tall, peaked positive T waves. The pattern is considered to be equivalent to an ST elevation as a clinical indication of myocardial infarction. Therefore, clinical recognition of this finding and the additional evaluation it should precipitate is critical to improving patient outcomes. Emergent consultation with a cardiologist should be undertaken when the de Winter electrocardiogram pattern is observed to allow for timely cardiac catheterization and primary percutaneous coronary intervention, if appropriate, to ensure appropriate reperfusion as per ST-elevation myocardial infarction (STEMI) guidelines. This activity reviews the evaluation and treatment of patients who present with the de Winter electrocardiogram pattern and highlights the role of the interprofessional team in evaluating and treating patients with this condition.
- Provider:StatPearls, LLC
- Activity Link: https://www.statpearls.com/ArticleLibrary/viewarticle/98283
- Start Date: 2023-09-01 05:00:00
- End Date: 2023-09-01 05:00:00
- Credit Details: IPCE Credits: 1.0 hours
AMA PRA Category 1 Credit™️: 1.0 hours
Nursing: 1.0 hours
Pharmacy: 1.0 hours - MOC Credit Details: ABS - 1.0 Point; Credit Type(s): Accredited CME (ABS)
ABPATH - 1.0 Point; Credit Type(s): Lifelong Learning (ABPATH)
ABA - 1.0 Point; Credit Type(s): Lifelong Learning (ABA)
ABTS - 1.0 Point; Credit Type(s): Accredited CME (ABTS)
ABIM - 1.0 Point; Credit Type(s): Medical Knowledge (ABIM)
ABS - 1.0 Point; Credit Type(s): Self-Assessment (ABS)
ABP - 1.0 Point; Credit Type(s): Lifelong Learning and Self-Assessment (ABP)
ABTS - 1.0 Point; Credit Type(s): Self-Assessment (ABTS) - Commercial Support: No
- Activity Type: Enduring Material
- CME Finder Type: Online Learning
- Fee to Participate: Variable
- Measured Outcome: Learner Knowledge, Learner/Team Competence
- Provider Ship: Directly Provided
- Registration: Open to all
- Specialty: Adult Cardiac, Adult Congenital Heart Disease, Advanced Heart Failure and Transplant Cardiology, Cardiothoracic, Cardiovascular, Cardiovascular Disease, Clinical Cardiac Electrophysiology, Critical Care, Critical Care Medicine, General Pediatrics, General Surgery, Geriatric Medicine, Hospital Medicine, Internal Medicine, Interventional Cardiology, Pediatric Cardiology, Pediatric Critical Care Medicine, Pediatric Emergency Medicine, Surgical Critical Care