This case highlights the importance of recognizing the de Winter ECG pattern as a sign of proximal LAD occlusion.
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Alerts clinicians to proximal LAD occlusion risk in post-arrest ECGs; leaves open prospective validation of de Winter pattern utility.
This report describes the case of a 48-year-old man whose electrocardiogram after cardiopulmonary resuscitation showed up-sloping ST-segment depression at the J point in precordial leads combined with tall symmetrical T waves. This electrocardiographic pattern corresponded to de Winter syndrome and is related to proximal left anterior descending coronary artery occlusion. ( Level of Difficulty: Beginner. )
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Plane et al. (2019) studied this question.
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