A de Winter electrocardiographic pattern caused by left main coronary artery occlusion: A case report
A de Winter electrocardiographic (ECG) pattern comprising precordial junctional ST depression followed by tall, positive symmetrical T waves in leads V1/V2 to V4/V6 is often concomitant with ST elevation in lead aVR. This finding strongly suggests proximal left anterior descending coronary artery oc...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2020-05-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/0300060520927209 |
| _version_ | 1819030646789505024 |
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| author | Zhong-Qun Zhan Yang Li Li-Hao Wu Li-Hong Han |
| author_facet | Zhong-Qun Zhan Yang Li Li-Hao Wu Li-Hong Han |
| author_sort | Zhong-Qun Zhan |
| collection | DOAJ |
| description | A de Winter electrocardiographic (ECG) pattern comprising precordial junctional ST depression followed by tall, positive symmetrical T waves in leads V1/V2 to V4/V6 is often concomitant with ST elevation in lead aVR. This finding strongly suggests proximal left anterior descending coronary artery occlusion. We described a patient who had the de Winter ECG pattern in leads V2 to V4 by acute left main coronary artery (LMCA) occlusion. The ECG also showed maximal ST depression in leads V4 to V5 and inverted T waves in leads V5 to V6. This finding indicated a global subendocardial ischemia ECG pattern, which suggested LMCA or three-vessel disease. Early recognition of this ECG manifestation is important for averting a disastrous prognosis in acute LMCA occlusion because emergent coronary intervention may be life-saving. |
| first_indexed | 2024-12-21T06:33:28Z |
| format | Article |
| id | doaj.art-f31c59013c5b430887721ce052580224 |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-12-21T06:33:28Z |
| publishDate | 2020-05-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-f31c59013c5b430887721ce0525802242022-12-21T19:12:56ZengSAGE PublishingJournal of International Medical Research1473-23002020-05-014810.1177/0300060520927209A de Winter electrocardiographic pattern caused by left main coronary artery occlusion: A case reportZhong-Qun ZhanYang LiLi-Hao WuLi-Hong HanA de Winter electrocardiographic (ECG) pattern comprising precordial junctional ST depression followed by tall, positive symmetrical T waves in leads V1/V2 to V4/V6 is often concomitant with ST elevation in lead aVR. This finding strongly suggests proximal left anterior descending coronary artery occlusion. We described a patient who had the de Winter ECG pattern in leads V2 to V4 by acute left main coronary artery (LMCA) occlusion. The ECG also showed maximal ST depression in leads V4 to V5 and inverted T waves in leads V5 to V6. This finding indicated a global subendocardial ischemia ECG pattern, which suggested LMCA or three-vessel disease. Early recognition of this ECG manifestation is important for averting a disastrous prognosis in acute LMCA occlusion because emergent coronary intervention may be life-saving.https://doi.org/10.1177/0300060520927209 |
| spellingShingle | Zhong-Qun Zhan Yang Li Li-Hao Wu Li-Hong Han A de Winter electrocardiographic pattern caused by left main coronary artery occlusion: A case report Journal of International Medical Research |
| title | A de Winter electrocardiographic pattern caused by left main coronary artery occlusion: A case report |
| title_full | A de Winter electrocardiographic pattern caused by left main coronary artery occlusion: A case report |
| title_fullStr | A de Winter electrocardiographic pattern caused by left main coronary artery occlusion: A case report |
| title_full_unstemmed | A de Winter electrocardiographic pattern caused by left main coronary artery occlusion: A case report |
| title_short | A de Winter electrocardiographic pattern caused by left main coronary artery occlusion: A case report |
| title_sort | de winter electrocardiographic pattern caused by left main coronary artery occlusion a case report |
| url | https://doi.org/10.1177/0300060520927209 |
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