The de Winter electrocardiogram pattern in a 52-year-old-male: a case report.

ABSTRACT:

Background

The 12-lead electrocardiogram (ECG) remains the primary test for diagnosis of acute myocardial infarction (MI) secondary to acute coronary occlusion or near occlusion, with insufficient collateral circulation. Decisions regarding urgent reperfusion are based on whether or not there's new ST-segment elevation. The de Winter ECG pattern is a distinct ECG pattern without any ST-segment elevation, it may be missed by anyone unfamiliar with it.

Case summary

We present a case whose chief complaint was severe central chest pain, the patient was diagnosed with acute MI secondary to a culprit lesion in the left anterior descending artery, despite the ECG not meeting standard STEMI criteria. After the ECG's significance was recognized by paramedics, the patient received imm

SUBMITTER: Di Toro M 

PROVIDER: S-EPMC7793239 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature