Why the study?
de Winter syndrome is an under-recognized STEMI equivalent present in approximately 2% of acute myocardial infarction patients, leading to increased morbidity and mortality.
Highlights the importance of recognizing de Winter syndrome as a STEMI equivalent requiring prompt percutaneous coronary intervention.
Raises clinician awareness of de Winter pattern in ACS; leaves open need for prospective validation of recognition strategies.
de Winter syndrome, also termed anterior ST-segment elevation myocardial infarction (STEMI) equivalent, is estimated to be present in approximately 2% of patients with acute myocardial infarction, but is often under-recognized by clinicians. Therefore, de Winter syndrome is associated with increased morbidity and mortality. We report a 51-year-old man with typical chest tightness and a characteristic electrocardiographic pattern without classic ST-segment elevation, but with acute nearly total occlusion of the left anterior descending coronary artery. Although the patient presented as a non-STEMI case, the definite diagnosis of de Winter syndrome was made on the basis of clinical and electrocardiographic findings. The patient's symptom of chest tightness was relieved immediately after acute percutaneous coronary intervention and the left ventricular ejection fraction had not deteriorated at 1 month of follow-up.
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Jiang et al. (2021) studied this question.
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