The rare presentation of the de Winter's pattern: Case report and literature review.

Autor:	Prasad RM; Michigan State University - Sparrow Hospital, 1200 E Michigan Ave, Ste 510, Lansing, MI. 48912, United States of America., Al-Abcha A; Michigan State University - Sparrow Hospital, 1200 E Michigan Ave, Ste 510, Lansing, MI. 48912, United States of America., Elshafie A; Michigan State University - Sparrow Hospital, 1200 E Michigan Ave, Ste 510, Lansing, MI. 48912, United States of America., Radwan YA; Michigan State University - Sparrow Hospital, 1200 E Michigan Ave, Ste 510, Lansing, MI. 48912, United States of America., Baloch ZQ; Michigan State University - Sparrow Hospital, 1200 E Michigan Ave, Ste 510, Lansing, MI. 48912, United States of America., Abela GS; Michigan State University - Sparrow Hospital, 1200 E Michigan Ave, Ste 510, Lansing, MI. 48912, United States of America.
Jazyk:	angličtina
Zdroj:	American heart journal plus : cardiology research and practice [Am Heart J Plus] 2021 May 26; Vol. 3, pp. 100013. Date of Electronic Publication: 2021 May 26 (Print Publication: 2021).
DOI:	10.1016/j.ahjo.2021.100013
Abstrakt:	Although not classified as a ST elevated myocardial infarction (STEMI), the patterns known as equivalents also require prompt recognition and treatment. A 50-year-old male with no pertinent history presented to the emergency department for chest pain that radiated to his left shoulder. An electrocardiogram (EKG) revealed findings consistent with the de Winter's pattern, which were greater than 1 mm upsloping ST depressions at the J point in leads V3-V6 (maximally in leads V3-V5), tall, peaked T waves in leads II, III, and V3-V5, ST elevations in lead aVR, and 1 mm ST elevation in V1 and V2. The physical exam, troponins, and other laboratory investigations were unrevealing. Urgent, diagnostic coronary angiography revealed complete occlusion of the proximal left anterior descending (LAD) artery, which was successfully treated with percutaneous coronary intervention (PCI) and two drug-eluting stents. After the stent placement, arterial blood flow was re-established and the ECG normalized. The patient was started on guideline based treatment and discharged home once medically stable. The de Winter's pattern on electrocardiogram indicates a significant coronary artery disease. This pattern requires urgent intervention, typically percutaneous stent placement. Competing Interests: The authors have no conflicts of interest to disclose. (© 2021 The Authors.)
Databáze:	MEDLINE
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