What question did this study set out to answer?

This study aims to explore how de Winter ECG patterns can progress and their implications for treatment in critical coronary artery disease.

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March 26, 2026Open Access

The de Winter–Wellens Continuum

Key Result

A de Winter ECG pattern may evolve into a Wellens pattern in patients with critical LAD disease, with dynamic collaterals potentially influencing PCI strategy.

Key Points

This study aims to explore how de Winter ECG patterns can progress and their implications for treatment in critical coronary artery disease.
Analyzed ECG patterns in patients with critical LAD disease.
Examined the relationship between dynamic collaterals and PCI strategies in acute coronary syndrome.
ECG changes were observed transitioning from de Winter to Wellens patterns.
Dynamic collaterals significantly influenced the choice of PCI strategies in affected patients.

Structured PICO

Population

Patients with critical LAD disease and acute coronary syndrome

Recognizing the evolution of a de Winter ECG to a Wellens pattern and the role of dynamic collaterals can help guide PCI strategy in acute coronary syndrome.

Main Result

Absolute Event Rate: 0% vs 0%

Abstract

A de Winter ECG may evolve into Wellens pattern in critical LAD disease. Dynamic collaterals may influence PCI strategy in acute coronary syndrome.

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Cite This Study

Sheikh et al. (Sun,) reported a other. A de Winter ECG pattern may evolve into a Wellens pattern in patients with critical LAD disease, with dynamic collaterals potentially influencing PCI strategy.

synapsesocial.com/papers/69c4cc69fdc3bde448917a6b https://doi.org/https://doi.org/10.1016/j.jaccas.2026.107531