A case of inferior STEMI with concomitant de Winter-like anterior ECG changes demonstrated that such morphology can coexist with multivessel disease and does not always indicate acute LAD occlusion.
Case Report (n=1)
No
When inferior STEMI criteria are present alongside de Winter-like anterior ECG changes, standard emergent reperfusion pathways should be prioritized irrespective of the anterior ST-T morphology.
This case demonstrates that de Winter-like anterior ECG morphology may coexist with inferior STEMI in multivessel coronary artery disease. Such morphology should not be interpreted in isolation as evidence of LAD occlusion, but integrated with angiographic findings and the overall ischaemic context. When inferior STEMI criteria are present, standard emergent reperfusion pathways should be prioritised irrespective of concurrent anterior ST-T morphology.
Wei et al. (Fri,) conducted a case report in Inferior ST-elevation myocardial infarction with multivessel coronary artery disease (n=1). Percutaneous coronary intervention (PCI) was evaluated. A case of inferior STEMI with concomitant de Winter-like anterior ECG changes demonstrated that such morphology can coexist with multivessel disease and does not always indicate acute LAD occlusion.