The 'de Winter' electrocardiogram pattern as a ST-elevation myocardial infarction equivalent: a case report

Article Article scientifique Rapport de cas The 'de Winter' electrocardiogram pattern as a ST-elevation myocardial infarction equivalent: a case report eng 2019 author Grandjean Thierry 633717 author Degrauwe Sophie 893685 author Tessitore Elena 750991 author Iglesias Juan Fernando 897167 1-5 10.1093/ehjcr/ytz210 31911997 2514-2119 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6939815/ A 'STEMI equivalent' electrocardiogram (ECG) pattern reflects an acute thrombotic occlusion of a large epicardial coronary artery without ST-segment elevation. These ECG patterns are less known by caregivers. We describe the case of a 56-year-old patient suffering from acute chest pain, presenting in our emergency depart-ment with a ‘de Winter' ECG pattern: an upsloping ST-segment depression with tall symmetrical T waves associ-ated with left anterior descending artery occlusion. The ‘de Winter' ECG pattern, as other ‘STEMI equivalent', must be recognized promptly and treated as soon aspossible with emergent reperfusion by percutaneous coronary intervention. ST depression with tall symmetrical T waves 'de Winter' ECG pattern Acute coronarysyndrome STEMI equivalent Case report Dewey 616 56 Département de médecine 221 false European Heart Journal: Case reports 3 4 4c791051-e0a3-49c8-bdd6-b6010af8b710 Article (Published version) Public ytz210.pdf 565708 application/pdf CC BY-NC openAccess Faculté de médecine / Section de médecine clinique / Département de médecine

Title	Published in	Access level	OA Policy	Year	Views	Downloads

The 'de Winter' electrocardiogram pattern as a ST-elevation myocardial infarction equivalent: a case report	European Heart Journal: Case reports			2019	275	914

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Grandjean, Thierry