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De Winter syndrome as an emergency electrocardiogram sign of ST‐elevation myocardial infarction: a case report
- Source :
- ESC Heart Failure, ESC Heart Failure, Vol 7, Iss 6, Pp 4353-4356 (2020)
- Publication Year :
- 2020
- Publisher :
- John Wiley and Sons Inc., 2020.
-
Abstract
- The case report aims to reveal de Winter's electrocardiogram (ECG) pattern as an equivalent to anterior ST‐segment elevation myocardial infarction (STEMI). We report a case of a 49‐year‐old man with a history of smoking who presented to the emergency department with a 1 day history of chest pain that was exacerbated 5 h prior to presentation. Detailed clinical investigations and coronary angiographic characteristics were recorded. The first ECG of the patient was consistent with de Winter syndrome. Acute coronary artery angiography showed that the proximal left anterior descending coronary artery was completely occluded after the first diagonal branch artery was given off. A percutaneous coronary intervention was immediately performed. Our case indicates that early identification and diagnosis of such ECGs and timely reperfusion therapy of de Winter syndrome as a STEMI equivalent are required to improve the prognosis of such patients.
- Subjects :
- medicine.medical_specialty
medicine.medical_treatment
Case Report
Case Reports
Acute myocardial infarction
030204 cardiovascular system & hematology
Anterior Descending Coronary Artery
Chest pain
Percutaneous coronary intervention
03 medical and health sciences
0302 clinical medicine
Reperfusion therapy
Internal medicine
medicine
Diseases of the circulatory (Cardiovascular) system
030212 general & internal medicine
Myocardial infarction
cardiovascular diseases
de Winter syndrome
business.industry
First Diagonal Branch Artery
Emergency department
medicine.disease
Heart failure
RC666-701
Cardiology
medicine.symptom
Cardiology and Cardiovascular Medicine
business
Subjects
Details
- Language :
- English
- ISSN :
- 20555822
- Volume :
- 7
- Issue :
- 6
- Database :
- OpenAIRE
- Journal :
- ESC Heart Failure
- Accession number :
- edsair.doi.dedup.....6da0825c109806c0be5341fb8697b35f