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血栓栓塞事件导致的De Winter T波心电图模式:一种罕见现象。

De Winter T-wave Electrocardiogram Pattern Due to Thromboembolic Event: A Rare Phenomenon.

作者信息

Alahmad Yaser, Sardar Sundus, Swehli Hisham

机构信息

Department of Adult Cardiology, Heart Hospital, Doha, Qatar.

Department of Medical Education, Hamad Medical Corporation, Doha, Qatar.

出版信息

Heart Views. 2020 Jan-Mar;21(1):40-44. doi: 10.4103/HEARTVIEWS.HEARTVIEWS_90_19. Epub 2020 Jan 23.

DOI:10.4103/HEARTVIEWS.HEARTVIEWS_90_19
PMID:32082500
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7006330/
Abstract

De winter pattern on the ECG is associated with occlusion of proximal left anterior descending artery. It is an atypical presentation of acute myocardial infarction due to LAD occlusion. We report a case due to thromboembolic occlusion of LAD after chemical cardioversion. It is imperative for cardiologists and physicians to instantly identify the De Winter pattern on ECG to appropriately triage these patients without delay.

摘要

心电图上的德温特模式与左前降支近端闭塞有关。它是由左前降支闭塞引起的急性心肌梗死的一种非典型表现。我们报告一例化学复律后左前降支血栓栓塞性闭塞的病例。心脏病专家和医生必须立即识别心电图上的德温特模式,以便及时对这些患者进行适当的分诊,不延误病情。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f322/7006330/12bba5b47ec3/HV-21-40-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f322/7006330/9faa4c8fe1e9/HV-21-40-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f322/7006330/b13e101635fa/HV-21-40-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f322/7006330/641429b52bce/HV-21-40-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f322/7006330/12bba5b47ec3/HV-21-40-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f322/7006330/9faa4c8fe1e9/HV-21-40-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f322/7006330/b13e101635fa/HV-21-40-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f322/7006330/641429b52bce/HV-21-40-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f322/7006330/12bba5b47ec3/HV-21-40-g004.jpg

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本文引用的文献

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Thrombolytic therapy in a patient with chest pain with de Winter ECG pattern occurred after ST-segment elevation: A case report.ST段抬高后出现de Winter心电图模式的胸痛患者的溶栓治疗:一例报告
J Electrocardiol. 2019 Sep-Oct;56:4-6. doi: 10.1016/j.jelectrocard.2019.06.010. Epub 2019 Jun 12.
2
De Winter Sign in Inferior Leads: A Rare Presentation.下壁导联的De Winter综合征:一种罕见表现。
Heart Views. 2019 Jan-Mar;20(1):25-27. doi: 10.4103/HEARTVIEWS.HEARTVIEWS_4_19.
3
De Winter pattern: a forgotten pattern of acute LAD artery occlusion.
德温特模式:一种被遗忘的急性左前降支动脉闭塞模式。
BMJ Case Rep. 2018 Nov 8;2018:bcr-2018-226413. doi: 10.1136/bcr-2018-226413.
4
Should de Winter T-Wave Electrocardiography Pattern Be Treated as ST-Segment Elevation Myocardial Infarction Equivalent with Consequent Reperfusion? A Dilemmatic Experience in Rural Area of Indonesia.是否应将de Winter T波心电图模式视为等同于ST段抬高型心肌梗死并进行相应的再灌注治疗?印度尼西亚农村地区的一段两难经历。
Case Rep Cardiol. 2018 Mar 31;2018:6868204. doi: 10.1155/2018/6868204. eCollection 2018.
5
Thrombolytic therapy to the patients with de Winter electrocardiographic pattern, is it right?对出现de Winter心电图表现的患者进行溶栓治疗,这样做对吗?
QJM. 2018 Feb 1;111(2):125-127. doi: 10.1093/qjmed/hcx253.
6
The Dressler - de Winter sign of acute proximal LAD occlusion.急性左前降支近端闭塞的德雷斯勒 - 德温特征。
J Electrocardiol. 2018 Jan-Feb;51(1):138-139. doi: 10.1016/j.jelectrocard.2017.08.024. Epub 2017 Sep 1.
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