The de Winter electrocardiographic pattern evolves to ST elevation in acute total left main occlusion: A case series

The de Winter electrocardiographic (ECG) pattern was characterized by upsloping ST‐segment depressions, tall and positive symmetrical T waves in precordial leads. This rare ECG pattern was recognized as an indication of proximal left anterior descending artery occlusion. Less commonly, this ECG patt...

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Autores principales: Liu, Chun‐Wei, Zhang, Jing‐Xia, Hu, Yue‐Cheng, Wang, Le, Zhang, Ying‐Yi, Cong, Hong‐Liang
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8739620/
https://www.ncbi.nlm.nih.gov/pubmed/34042244
http://dx.doi.org/10.1111/anec.12855
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author Liu, Chun‐Wei
Zhang, Jing‐Xia
Hu, Yue‐Cheng
Wang, Le
Zhang, Ying‐Yi
Cong, Hong‐Liang
author_facet Liu, Chun‐Wei
Zhang, Jing‐Xia
Hu, Yue‐Cheng
Wang, Le
Zhang, Ying‐Yi
Cong, Hong‐Liang
author_sort Liu, Chun‐Wei
collection PubMed
description The de Winter electrocardiographic (ECG) pattern was characterized by upsloping ST‐segment depressions, tall and positive symmetrical T waves in precordial leads. This rare ECG pattern was recognized as an indication of proximal left anterior descending artery occlusion. Less commonly, this ECG pattern was reported in association with occlusion of other coronary artery segments. We present three cases of the de Winter pattern associated with acute total left main occlusion. This pattern may evolve to ST elevation within hours of presentation. Widespread upsloping ST‐segment depressions from V(2)–V(6), centered on V(5) were observed in these patients.
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spelling pubmed-87396202022-01-12 The de Winter electrocardiographic pattern evolves to ST elevation in acute total left main occlusion: A case series Liu, Chun‐Wei Zhang, Jing‐Xia Hu, Yue‐Cheng Wang, Le Zhang, Ying‐Yi Cong, Hong‐Liang Ann Noninvasive Electrocardiol Case Reports The de Winter electrocardiographic (ECG) pattern was characterized by upsloping ST‐segment depressions, tall and positive symmetrical T waves in precordial leads. This rare ECG pattern was recognized as an indication of proximal left anterior descending artery occlusion. Less commonly, this ECG pattern was reported in association with occlusion of other coronary artery segments. We present three cases of the de Winter pattern associated with acute total left main occlusion. This pattern may evolve to ST elevation within hours of presentation. Widespread upsloping ST‐segment depressions from V(2)–V(6), centered on V(5) were observed in these patients. John Wiley and Sons Inc. 2021-05-27 /pmc/articles/PMC8739620/ /pubmed/34042244 http://dx.doi.org/10.1111/anec.12855 Text en © 2021 The Authors. Annals of Noninvasive Electrocardiology published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made.
spellingShingle Case Reports
Liu, Chun‐Wei
Zhang, Jing‐Xia
Hu, Yue‐Cheng
Wang, Le
Zhang, Ying‐Yi
Cong, Hong‐Liang
The de Winter electrocardiographic pattern evolves to ST elevation in acute total left main occlusion: A case series
title The de Winter electrocardiographic pattern evolves to ST elevation in acute total left main occlusion: A case series
title_full The de Winter electrocardiographic pattern evolves to ST elevation in acute total left main occlusion: A case series
title_fullStr The de Winter electrocardiographic pattern evolves to ST elevation in acute total left main occlusion: A case series
title_full_unstemmed The de Winter electrocardiographic pattern evolves to ST elevation in acute total left main occlusion: A case series
title_short The de Winter electrocardiographic pattern evolves to ST elevation in acute total left main occlusion: A case series
title_sort de winter electrocardiographic pattern evolves to st elevation in acute total left main occlusion: a case series
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8739620/
https://www.ncbi.nlm.nih.gov/pubmed/34042244
http://dx.doi.org/10.1111/anec.12855
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