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The 'de Winter' electrocardiogram pattern as a ST-elevation myocardial infarction equivalent: a case report.

ABSTRACT: 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.

SUBMITTER: Grandjean T

PROVIDER: S-EPMC6939815 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature

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The 'de Winter' electrocardiogram pattern as a ST-elevation myocardial infarction equivalent: a case report.

Grandjean Thierry T Degrauwe Sophie S Tessitore Elena E Iglesias Juan F JF

European heart journal. Case reports 20191127 4

<h4>Background</h4>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.<h4>Case summary</h4>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 descend ...[more]

PMID: 31911997

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