de Winter’s Pattern: An Unusual but Very Important Electrocardiographic Sign to Recognize

ST-segment elevation myocardial infarction (STEMI) equivalent patterns make the diagnosis of STEMI very challenging. We present a case of de Winter’s pattern (dWp) in a man admitted to the emergency department for chest pain who developed cardiogenic shock despite successful percutaneous coronary in...

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Detalles Bibliográficos
Autores principales: Barbati, Giovanni, Caprioglio, Francesco
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2019
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7065245/
https://www.ncbi.nlm.nih.gov/pubmed/32166222
http://dx.doi.org/10.1016/j.cjco.2019.11.001
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author Barbati, Giovanni
Caprioglio, Francesco
author_facet Barbati, Giovanni
Caprioglio, Francesco
author_sort Barbati, Giovanni
collection PubMed
description ST-segment elevation myocardial infarction (STEMI) equivalent patterns make the diagnosis of STEMI very challenging. We present a case of de Winter’s pattern (dWp) in a man admitted to the emergency department for chest pain who developed cardiogenic shock despite successful percutaneous coronary intervention. Electrocardiograms performed at arrival, after 10 minutes, and the day after the revascularization demonstrated a dynamic and rapid evolution of dWp. Our case underlines the importance to promptly recognize dWp as a STEMI equivalent pattern to advance the patient to a rapid reperfusion strategy and confirms the high-risk and probably evolutive feature of this sign.
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spelling pubmed-70652452020-03-12 de Winter’s Pattern: An Unusual but Very Important Electrocardiographic Sign to Recognize Barbati, Giovanni Caprioglio, Francesco CJC Open Case Report ST-segment elevation myocardial infarction (STEMI) equivalent patterns make the diagnosis of STEMI very challenging. We present a case of de Winter’s pattern (dWp) in a man admitted to the emergency department for chest pain who developed cardiogenic shock despite successful percutaneous coronary intervention. Electrocardiograms performed at arrival, after 10 minutes, and the day after the revascularization demonstrated a dynamic and rapid evolution of dWp. Our case underlines the importance to promptly recognize dWp as a STEMI equivalent pattern to advance the patient to a rapid reperfusion strategy and confirms the high-risk and probably evolutive feature of this sign. Elsevier 2019-11-11 /pmc/articles/PMC7065245/ /pubmed/32166222 http://dx.doi.org/10.1016/j.cjco.2019.11.001 Text en © 2019 Canadian Cardiovascular Society. Published by Elsevier Inc. http://creativecommons.org/licenses/by-nc-nd/4.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Barbati, Giovanni
Caprioglio, Francesco
de Winter’s Pattern: An Unusual but Very Important Electrocardiographic Sign to Recognize
title de Winter’s Pattern: An Unusual but Very Important Electrocardiographic Sign to Recognize
title_full de Winter’s Pattern: An Unusual but Very Important Electrocardiographic Sign to Recognize
title_fullStr de Winter’s Pattern: An Unusual but Very Important Electrocardiographic Sign to Recognize
title_full_unstemmed de Winter’s Pattern: An Unusual but Very Important Electrocardiographic Sign to Recognize
title_short de Winter’s Pattern: An Unusual but Very Important Electrocardiographic Sign to Recognize
title_sort de winter’s pattern: an unusual but very important electrocardiographic sign to recognize
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7065245/
https://www.ncbi.nlm.nih.gov/pubmed/32166222
http://dx.doi.org/10.1016/j.cjco.2019.11.001
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AT capriogliofrancesco dewinterspatternanunusualbutveryimportantelectrocardiographicsigntorecognize

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