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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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
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author Grandjean, Thierry
Degrauwe, Sophie
Tessitore, Elena
Iglesias, Juan F
author_facet Grandjean, Thierry
Degrauwe, Sophie
Tessitore, Elena
Iglesias, Juan F
author_sort Grandjean, Thierry
collection PubMed
description 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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spelling pubmed-69398152020-01-07 The ‘de Winter’ electrocardiogram pattern as a ST-elevation myocardial infarction equivalent: a case report Grandjean, Thierry Degrauwe, Sophie Tessitore, Elena Iglesias, Juan F Eur Heart J Case Rep Case Reports 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. Oxford University Press 2019-11-27 /pmc/articles/PMC6939815/ /pubmed/31911997 http://dx.doi.org/10.1093/ehjcr/ytz210 Text en © The Author(s) 2019. Published by Oxford University Press on behalf of the European Society of Cardiology. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Case Reports
Grandjean, Thierry
Degrauwe, Sophie
Tessitore, Elena
Iglesias, Juan F
The ‘de Winter’ electrocardiogram pattern as a ST-elevation myocardial infarction equivalent: a case report
title The ‘de Winter’ electrocardiogram pattern as a ST-elevation myocardial infarction equivalent: a case report
title_full The ‘de Winter’ electrocardiogram pattern as a ST-elevation myocardial infarction equivalent: a case report
title_fullStr The ‘de Winter’ electrocardiogram pattern as a ST-elevation myocardial infarction equivalent: a case report
title_full_unstemmed The ‘de Winter’ electrocardiogram pattern as a ST-elevation myocardial infarction equivalent: a case report
title_short The ‘de Winter’ electrocardiogram pattern as a ST-elevation myocardial infarction equivalent: a case report
title_sort ‘de winter’ electrocardiogram pattern as a st-elevation myocardial infarction equivalent: a case report
topic Case Reports
url 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
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