由伴有斑块破裂的左前降支近端高度狭窄引起的单一心前区导联de Winter图形：一例报告。
The de Winter pattern in a single precordial lead caused by high-grade stenosis of the proximal left anterior descending artery with plaque rupture: A case report.
作者信息
Song Zhizhou, Huo Yuehong, Wu Qi, Yu Xinjian, Yang Youdong, Meng Zejun, Li Xia
机构信息
Department of Cardiology, The Third People's Hospital of Datong, Datong, Shanxi 037046, China.
Department of Rheumatology, The Fifth People's Hospital of Datong, Datong, Shanxi 038300, China.
出版信息
Heliyon. 2024 Sep 4;10(17):e37135. doi: 10.1016/j.heliyon.2024.e37135. eCollection 2024 Sep 15.
The de Winter electrocardiogram (ECG) pattern indicates severe stenosis or occlusion of the left anterior descending artery (LAD). We present a 72-year-old female with 1.5-h chest pain. Angiography and optical coherence tomography (OCT) revealed 90 % LAD stenosis with plaque rupture, but no ST-segment elevation in the precordial leads. The de Winter pattern, characterized by upsloping ST-segment depression in V1-V6, appeared only in lead V2. Following successful percutaneous coronary intervention (PCI), the de Winter pattern disappeared. This case underscores the significance of the de Winter pattern in one precordial lead, necessitating prompt angiography and PCI for improved patient outcomes.
德温特心电图（ECG）模式提示左前降支动脉（LAD）严重狭窄或闭塞。我们报告一名72岁女性，有1.5小时胸痛症状。血管造影和光学相干断层扫描（OCT）显示LAD狭窄90%伴斑块破裂，但胸前导联无ST段抬高。德温特模式表现为V1-V6导联ST段下斜型压低，仅在V2导联出现。成功进行经皮冠状动脉介入治疗（PCI）后，德温特模式消失。该病例强调了胸前导联出现德温特模式的重要性，需要及时进行血管造影和PCI以改善患者预后。
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