Canakci Mustafa Emin, Turgay Yildirim Özge, Acar Nurdan, Mert Kadir Ugur
Department of Emergency Medicine, Eskisehir State Hospital, Eskisehir, Turkey.
Department of Cardiology, Eskisehir State Hospital, Eskisehir, Turkey.
Turk J Emerg Med. 2018 Oct 25;19(2):83-86. doi: 10.1016/j.tjem.2018.10.003. eCollection 2019 Apr.
Acute myocardial infarction (AMI) is the leading cause of mortality worldwide and with immediate invasive strategy, the extent of myocardial injury can be reduced. In recent studies, de-Winter T waves were defined as a sign of proximal left anterior descending artery (LAD) occlusion. In this electrocardiography (ECG) pattern, no ST elevation is seen, but an upsloping ST segment depression (>1mm) beginning from J-point, and symmetrical, long and significant T waves are seen in precordial leads.
We present three patients who were admitted to emergency department with symptoms of chest pain. Their ECGs revealed de-Winter T waves, therefore, coronary angiography was performed. Total LAD occlusion was observed in all patients, and stents were implanted to the culprit lesion.
We aim to emphasize the importance of de-Winter T waves since physicians should recognize this ECG pattern immediately in emergency situations to provide appropriate treatment to STEMI patients.
急性心肌梗死（AMI）是全球范围内主要的死亡原因，采用即刻侵入性策略可减少心肌损伤的程度。在最近的研究中，de-Winter T波被定义为左前降支近端（LAD）闭塞的征象。在这种心电图（ECG）模式中，未见ST段抬高，但从J点开始出现上斜型ST段压低（>1mm），且胸前导联可见对称、宽大且显著的T波。
我们介绍了三名因胸痛症状入院急诊科的患者。他们的心电图显示有de-Winter T波，因此进行了冠状动脉造影。所有患者均观察到LAD完全闭塞，并对罪犯病变植入了支架。
我们旨在强调de-Winter T波的重要性，因为医生在紧急情况下应立即识别这种心电图模式，以便为ST段抬高型心肌梗死（STEMI）患者提供适当的治疗。
