🚨 Suggestive of OMI:
- STD (especially with J-point depression) preceding large, hyperacute T waves in the precordial leads
- The presence of de Winter’s T-waves indicates a complete or near complete occlusion of a proximal LAD
- To illustrate the spectrum of ECG findings in deWinter pattern — the authors of the original 2008 NEJM manuscript included a composite picture taken from 8 representative tracings of patients in their study who manifested deWinter T waves.