Left circumflex STEMI presenting as de Winter sign, an ECG Zebra that gives you the chills! A case report.

Autor: Shehata K; Department of Internal Medicine, Division of Cardiology, Mount Sinai Hospital, Chicago, IL 60608, USA., Shrestha DB; Department of Internal Medicine, Mount Sinai Hospital, Chicago, IL 60608, USA. Electronic address: medhan75@gmail.com., Shtembari J; Department of Internal Medicine, Mount Sinai Hospital, Chicago, IL 60608, USA., Khatiwada R; Department of Internal Medicine, Himal Hospital, Kathmandu 44600, Nepal., Khosla S; Department of Internal Medicine, Division of Cardiology, Mount Sinai Hospital, Chicago, IL 60608, USA.
Jazyk: angličtina
Zdroj: Journal of electrocardiology [J Electrocardiol] 2023 Sep-Oct; Vol. 80, pp. 96-98. Date of Electronic Publication: 2023 May 22.
DOI: 10.1016/j.jelectrocard.2023.05.006
Abstrakt: de Winter ECG sign is an anterior ST-segment elevation myocardial infarction equivalent, which refers to an occlusion of the proximal left anterior descending (LAD) coronary artery with tall T waves and the absence of ST elevations in the precordial leads on the electrocardiogram (ECG). This sign is often under-recognized and not treated as an ST-segment elevation myocardial infarction which can increase the morbidity and mortality of such a life-threatening condition. Here we report a characteristic de Winter ECG sign involving left circumflex artery as culprit vessel, which was managed with PCI.
Competing Interests: Declaration of Competing Interest The authors declare that they have no competing interests.
(Copyright © 2023 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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