Liu CW, Zhang JX, Hu YC, Wang L, Zhang YY, Cong HL. The de Winter electrocardiographic pattern evolves to ST elevation in acute total left main occlusion: A case series.
Ann Noninvasive Electrocardiol 2021;
27:e12855. [PMID:
34042244 PMCID:
PMC8739620 DOI:
10.1111/anec.12855]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2021] [Revised: 04/08/2021] [Accepted: 04/15/2021] [Indexed: 12/01/2022] Open
Abstract
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 V2–V6, centered on V5 were observed in these patients.
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