Atypical de Winter ECG pattern may be the mirror image of ST elevation

Background: The de Winter ECG pattern of ST‐segment depression and tall symmetrical T waves, known as an ST elevation equivalent, accounts for approximately 2% of patients with occlusion of the proximal left anterior descending (LAD) coronary artery. The classic de Winter pattern is restricted to ca...

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Autores principales: Wang, Jian, Li, Jingsen, Diao, Shuling, Xu, Huipu, Ding, Faming
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/PMC9107089/
https://www.ncbi.nlm.nih.gov/pubmed/34808022
http://dx.doi.org/10.1111/anec.12915
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author Wang, Jian
Li, Jingsen
Diao, Shuling
Xu, Huipu
Ding, Faming
author_facet Wang, Jian
Li, Jingsen
Diao, Shuling
Xu, Huipu
Ding, Faming
author_sort Wang, Jian
collection PubMed
description Background: The de Winter ECG pattern of ST‐segment depression and tall symmetrical T waves, known as an ST elevation equivalent, accounts for approximately 2% of patients with occlusion of the proximal left anterior descending (LAD) coronary artery. The classic de Winter pattern is restricted to cases without ST elevation. However, mixed cases with different types of ST deviation have been described. Here, we describe an interesting case as an example of an ST elevation myocardial infarction (STEMI) equivalent, showing transient transmural ischemia of the inferolateral myocardium, with ECG changes that mimic the de Winter pattern.
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spelling pubmed-91070892022-05-19 Atypical de Winter ECG pattern may be the mirror image of ST elevation Wang, Jian Li, Jingsen Diao, Shuling Xu, Huipu Ding, Faming Ann Noninvasive Electrocardiol Case Reports Background: The de Winter ECG pattern of ST‐segment depression and tall symmetrical T waves, known as an ST elevation equivalent, accounts for approximately 2% of patients with occlusion of the proximal left anterior descending (LAD) coronary artery. The classic de Winter pattern is restricted to cases without ST elevation. However, mixed cases with different types of ST deviation have been described. Here, we describe an interesting case as an example of an ST elevation myocardial infarction (STEMI) equivalent, showing transient transmural ischemia of the inferolateral myocardium, with ECG changes that mimic the de Winter pattern. John Wiley and Sons Inc. 2021-11-22 /pmc/articles/PMC9107089/ /pubmed/34808022 http://dx.doi.org/10.1111/anec.12915 Text en © 2021 The Authors. Annals of Noninvasive Electrocardiology published by Wiley Periodicals LLC. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Case Reports
Wang, Jian
Li, Jingsen
Diao, Shuling
Xu, Huipu
Ding, Faming
Atypical de Winter ECG pattern may be the mirror image of ST elevation
title Atypical de Winter ECG pattern may be the mirror image of ST elevation
title_full Atypical de Winter ECG pattern may be the mirror image of ST elevation
title_fullStr Atypical de Winter ECG pattern may be the mirror image of ST elevation
title_full_unstemmed Atypical de Winter ECG pattern may be the mirror image of ST elevation
title_short Atypical de Winter ECG pattern may be the mirror image of ST elevation
title_sort atypical de winter ecg pattern may be the mirror image of st elevation
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9107089/
https://www.ncbi.nlm.nih.gov/pubmed/34808022
http://dx.doi.org/10.1111/anec.12915
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AT xuhuipu atypicaldewinterecgpatternmaybethemirrorimageofstelevation
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