急性冠状动脉综合征中从de Winter图形到Wellens图形的动态心电图变化——罕见的心电图改变
Dynamic ECG change from de Winter to Wellens - Rare ECG change in acute coronary syndrome.
作者信息
Arima Naoki, Yamasaki Naohito, Furushima Tomoki, Miyamoto Yuya, Moriki Toshihiro, Miyagawa Kazuya, Noguchi Tatsuya, Kubo Toru, Kitaoka Hiroaki
机构信息
Department of Cardiology and Geriatrics, Kochi Medical School, Kochi University, Kochi, Japan.
出版信息
J Cardiol Cases. 2025 Jan 14;31(4):93-96. doi: 10.1016/j.jccase.2024.12.004. eCollection 2025 Apr.
UNLABELLED
A 70-year-old male complained of chest pain. His electrocardiogram (ECG) revealed the De Winter pattern, which indicates left anterior descending artery occlusion. His symptoms spontaneously resolved within 30 min. This time, his ECG showed Wellens's sign. It is rare to see a change from De Winter to Wellens in one patient.
LEARNING OBJECTIVES
Recognize de Winter's and Wellens' electrocardiogram (ECG) patterns as high-risk ECG for acute coronary syndrome (ACS), specifically related to left anterior descending artery lesions. Obtain serial ECGs in ACS patients to detect newly emerging changes in the coronary artery.
未标注
一名70岁男性主诉胸痛。他的心电图（ECG）显示出德温特（De Winter）模式，这表明左前降支动脉闭塞。他的症状在30分钟内自行缓解。此次，他的心电图显示出韦伦斯（Wellens）征。在一名患者中从德温特模式转变为韦伦斯征的情况很少见。
学习目标
认识到德温特和韦伦斯心电图模式是急性冠状动脉综合征（ACS）的高危心电图，特别是与左前降支动脉病变相关。在ACS患者中获取系列心电图以检测冠状动脉新出现的变化。
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