Gregory David, Wexler Bryan, Becker Brent
Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania.
Clin Pract Cases Emerg Med. 2020 Aug;4(3):476-477. doi: 10.5811/cpcem.2020.5.47322.
We describe a case of an acute myocardial infarction with an atypical electrocardiogram showing a de Winter T-wave pattern suggesting the 100% proximal left anterior descending artery occlusion seen on emergent cardiac catheterization.
Timely recognition of acute myocardial ischemia is paramount for emergency providers. As highlighted in this case, It is important to be mindful of atypical electrocardiogram findings, such as de Winter T-waves, which suggest acute myocardial ischemia.
我们描述了一例急性心肌梗死病例,其心电图表现不典型,呈现出德温特T波模式,提示急诊心脏导管检查发现左前降支近端100%闭塞。
对于急救人员而言,及时识别急性心肌缺血至关重要。如本病例所示,重要的是要留意不典型的心电图表现,如德温特T波,其提示急性心肌缺血。