Evolutionary de Winter pattern: from STEMI to de Winter ECG—a case report
| Autor: | Linlin Mai, Weijun Huang, Jianhua Lu, Yuli Huang, Yunzhao Hu, Wenshen Li |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Case Report Acute myocardial infarction Anterior Descending Coronary Artery Chest pain Percutaneous coronary intervention Internal medicine medicine Diseases of the circulatory (Cardiovascular) system Myocardial infarction cardiovascular diseases de Winter syndrome medicine.diagnostic_test business.industry Emergency department medicine.disease Prognosis Heart failure RC666-701 Conventional PCI Cardiology medicine.symptom Cardiology and Cardiovascular Medicine business Electrocardiography |
| Zdroj: | ESC Heart Failure ESC Heart Failure, Vol 9, Iss 1, Pp 771-774 (2022) |
| ISSN: | 2055-5822 |
| Popis: | The de Winter electrocardiography (ECG) pattern is a sign that implies proximal left anterior descending coronary artery occlusion in patients with chest pain. We report a case of a 34‐year‐old man with a history of smoking who presented to the local emergency department with a 49 min history of chest pain. The first ECG of the patient indicated that ST‐segment elevation was noted in the lead V2–V4; 57 min later, a second ECG revealed a typical de Winter syndrome when the patient was transferred to the emergency chest pain centre of our hospital. A percutaneous coronary intervention (PCI) was performed approximately 8 h later because the patient initially refused the PCI. Acute coronary artery angiography showed that the proximal left anterior descending coronary artery was completely occluded. Our case suggests that ST‐segment elevation myocardial infarction may evolve in the direction of de Winter, which reflects a coronary thrombus in formation, so the de Winter ECG pattern should not be considered static. |
| Databáze: | OpenAIRE |
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