Department of Internal Medicine, Division of Cardiology, Mount Sinai Hospital, Chicago, IL 60608, USA.
Department of Internal Medicine, Mount Sinai Hospital, Chicago, IL 60608, USA.
J Electrocardiol. 2023 Sep-Oct;80:96-98. doi: 10.1016/j.jelectrocard.2023.05.006. Epub 2023 May 22.
de Winter ECG sign is an anterior ST-segment elevation myocardial infarction equivalent, which refers to an occlusion of the proximal left anterior descending (LAD) coronary artery with tall T waves and the absence of ST elevations in the precordial leads on the electrocardiogram (ECG). This sign is often under-recognized and not treated as an ST-segment elevation myocardial infarction which can increase the morbidity and mortality of such a life-threatening condition. Here we report a characteristic de Winter ECG sign involving left circumflex artery as culprit vessel, which was managed with PCI.
德温特心电图征象是一种前壁 ST 段抬高型心肌梗死等效征象，它指的是心电图（ECG）上出现前间壁导联高大 T 波而 ST 段无抬高，提示近端左前降支（LAD）冠状动脉闭塞。这种征象常常被低估，不能被视为 ST 段抬高型心肌梗死，这可能会增加这种危及生命的情况下的发病率和死亡率。在这里，我们报告了一个特征性的德温特心电图征象，涉及左回旋支作为罪犯血管，该患者接受了 PCI 治疗。
