de Winter syndrome or inferior STEMI?

BACKGROUND: The de Winter electrocardiography (ECG) pattern is associated with acute total or subtotal occlusion of the left anterior descending coronary artery (LAD) characterized by upsloping ST-segment depression at the J point in leads V(1)–V(6) without ST-segment elevation. CASE PRESENTATION: W...

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Detalles Bibliográficos
Autores principales: Wang, Shijun, Shen, Liang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8713409/
https://www.ncbi.nlm.nih.gov/pubmed/34961517
http://dx.doi.org/10.1186/s12872-021-02441-4
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author Wang, Shijun
Shen, Liang
author_facet Wang, Shijun
Shen, Liang
author_sort Wang, Shijun
collection PubMed
description BACKGROUND: The de Winter electrocardiography (ECG) pattern is associated with acute total or subtotal occlusion of the left anterior descending coronary artery (LAD) characterized by upsloping ST-segment depression at the J point in leads V(1)–V(6) without ST-segment elevation. CASE PRESENTATION: We report an atypical style case of the de Winter ECG pattern accompanied by ST elevation in inferior leads. The patient underwent emergency coronary angiography, which revealed total occlusion of the proximal LAD with no observable stenosis in the right coronary artery. CONCLUSION: ECG-related changes in acute total LAD occlusion can present with the de Winter pattern and ST elevation in inferior leads. Recognizing this atypical ECG pattern is critical for immediate reperfusion therapy.
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spelling pubmed-87134092022-01-05 de Winter syndrome or inferior STEMI? Wang, Shijun Shen, Liang BMC Cardiovasc Disord Case Report BACKGROUND: The de Winter electrocardiography (ECG) pattern is associated with acute total or subtotal occlusion of the left anterior descending coronary artery (LAD) characterized by upsloping ST-segment depression at the J point in leads V(1)–V(6) without ST-segment elevation. CASE PRESENTATION: We report an atypical style case of the de Winter ECG pattern accompanied by ST elevation in inferior leads. The patient underwent emergency coronary angiography, which revealed total occlusion of the proximal LAD with no observable stenosis in the right coronary artery. CONCLUSION: ECG-related changes in acute total LAD occlusion can present with the de Winter pattern and ST elevation in inferior leads. Recognizing this atypical ECG pattern is critical for immediate reperfusion therapy. BioMed Central 2021-12-28 /pmc/articles/PMC8713409/ /pubmed/34961517 http://dx.doi.org/10.1186/s12872-021-02441-4 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Case Report
Wang, Shijun
Shen, Liang
de Winter syndrome or inferior STEMI?
title de Winter syndrome or inferior STEMI?
title_full de Winter syndrome or inferior STEMI?
title_fullStr de Winter syndrome or inferior STEMI?
title_full_unstemmed de Winter syndrome or inferior STEMI?
title_short de Winter syndrome or inferior STEMI?
title_sort de winter syndrome or inferior stemi?
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8713409/
https://www.ncbi.nlm.nih.gov/pubmed/34961517
http://dx.doi.org/10.1186/s12872-021-02441-4
work_keys_str_mv AT wangshijun dewintersyndromeorinferiorstemi
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