scholarly journals De Winter ECG Pattern Can Be A Temporary ECG Phenomenon Related To Severe Stenosis of The Left Circumflex Coronary Artery: A Case Report

Author(s):  
Jian Wang ◽  
Faming Ding ◽  
Jingsen Li ◽  
Huipu Xu

Abstract The de Winter ECG pattern consisting of ST-segment depression and tall symmetrical T waves on ECG, known as an ST elevation equivalent, accounts for approximately 2% of patients with occlusion of the proximal left anterior descending coronary artery (LAD). These patterns are considered static and persistent and are, on average, recorded 1.5 hours after onset. Here, we describe a case of the de Winter ECG pattern as a temporary ECG phenomenon associated with left circumflex coronary artery (LCX) stenosis.

2020 ◽  
Vol 19 (3) ◽  
pp. 159-161
Author(s):  
Asim Kalkan ◽  
◽  
Bora Cekmen ◽  
Behlul Bas ◽  
Mehmet Taylan Kocer ◽  
...  

de Winter syndrome, or anterior ST segment elevation myocardial infarction (STEMI), constitutes 2% of acute myocardial infarctions. In contrast to classic ST segment elevation as seen with STEMI, it involves ST depression with precordial derivations and sharp waves. de Winter syndrome indicates critical narrowing of the left ascending coronary artery (LAD). Recognizing this presentation is important in terms of both mortality and morbidity. We present the case of a 71-year old patient presenting at the Emergency Department with chest pain, who had findings of de Winter syndrome on their ECG. Coronary angiography confirmed occlusions in the LAD and circumflex (CX) coronary arteries.


2009 ◽  
Vol 10 (3) ◽  
pp. 179-182 ◽  
Author(s):  
Cihan Cevik ◽  
Kenneth Nugent ◽  
Veli Kemal Topkara ◽  
Mohammad Otahbachi ◽  
Leigh Ann Jenkins

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