Atypical de Winter ECG pattern may be the mirror image of ST elevation

Autor: Jian Wang, Jingsen Li, Shuling Diao, Huipu Xu, Faming Ding
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Annals of Noninvasive Electrocardiology, Vol 27, Iss 3, Pp n/a-n/a (2022)
Druh dokumentu: article
ISSN: 1542-474X
1082-720X
DOI: 10.1111/anec.12915
Popis: Abstract Background: The de Winter ECG pattern of ST‐segment depression and tall symmetrical T waves, known as an ST elevation equivalent, accounts for approximately 2% of patients with occlusion of the proximal left anterior descending (LAD) coronary artery. The classic de Winter pattern is restricted to cases without ST elevation. However, mixed cases with different types of ST deviation have been described. Here, we describe an interesting case as an example of an ST elevation myocardial infarction (STEMI) equivalent, showing transient transmural ischemia of the inferolateral myocardium, with ECG changes that mimic the de Winter pattern.
Databáze: Directory of Open Access Journals