Recognising the de Winter ECG pattern – A time critical electrocardiographic diagnosis in the Emergency Department
| Autor: | Zulfiquar Adam, Sherif Hemaya, Justin Squires, Hasan Qayyum |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
030204 cardiovascular system & hematology Chest pain Diagnosis Differential Electrocardiography 03 medical and health sciences Percutaneous Coronary Intervention 0302 clinical medicine Risk Factors Internal medicine Occlusion medicine Humans ST segment cardiovascular diseases business.industry 030208 emergency & critical care medicine Time critical Emergency department Middle Aged humanities medicine.anatomical_structure Coronary Occlusion Coronary occlusion Conventional PCI Cardiology Female medicine.symptom Emergency Service Hospital Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Journal of Electrocardiology. 51:392-395 |
| ISSN: | 0022-0736 |
| Popis: | The de Winter ECG pattern is associated with proximal left anterior descending artery occlusion, being a significant risk factor for anterior wall ST elevation myocardial infarction. We present a case of a patient who attended our Emergency Department with chest pain and a prehospital ECG demonstrating transient infero-lateral lead ST segment elevation, which changed to the de Winter ECG pattern in our Emergency Department. She subsequently underwent primary PCI of the culprit lesion within the left anterior descending artery (LAD). Recognition of de Winter ECG pattern in the Emergency Department results in a time critical diagnosis for acute coronary occlusion and should be followed by emergency coronary revascularization. |
| Databáze: | OpenAIRE |
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