The ‘de Winter’ electrocardiogram pattern as a ST-elevation myocardial infarction equivalent: a case report

BACKGROUND: A ‘STEMI equivalent’ electrocardiogram (ECG) pattern reflects an acute thrombotic occlusion of a large epicardial coronary artery without ST-segment elevation. These ECG patterns are less known by caregivers. CASE SUMMARY: We describe the case of a 56-year-old patient suffering from acut...

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Detalles Bibliográficos
Autores principales: Grandjean, Thierry, Degrauwe, Sophie, Tessitore, Elena, Iglesias, Juan F
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6939815/
https://www.ncbi.nlm.nih.gov/pubmed/31911997
http://dx.doi.org/10.1093/ehjcr/ytz210
Descripción
Sumario:BACKGROUND: A ‘STEMI equivalent’ electrocardiogram (ECG) pattern reflects an acute thrombotic occlusion of a large epicardial coronary artery without ST-segment elevation. These ECG patterns are less known by caregivers. CASE SUMMARY: We describe the case of a 56-year-old patient suffering from acute chest pain, presenting in our emergency department with a ‘de Winter’ ECG pattern: an upsloping ST-segment depression with tall symmetrical T waves associated with left anterior descending artery occlusion. DISCUSSION: The ‘de Winter’ ECG pattern, as other ‘STEMI equivalent’, must be recognized promptly and treated as soon as possible with emergent reperfusion by percutaneous coronary intervention.

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