Why the study?
To explore the electrocardiogram manifestations and clinical characteristics of patients with the de Winter electrocardiogram pattern.
What are the clinical and angiographic characteristics of ACS patients presenting with the de Winter electrocardiogram pattern?
What are the clinical and angiographic characteristics of ACS patients presenting with the de Winter electrocardiogram pattern?
The de Winter electrocardiogram pattern in patients with acute chest pain is a STEMI equivalent that typically indicates subtotal or complete occlusion of the left anterior descending or diagonal branch.
Retrospective de Winter pattern data in LAD-ACS; leaves open its diagnostic or prognostic utility pending prospective studies.
OBJECTIVES: To explore the electrocardiogram manifestations and clinical characteristics of patients with the de Winter electrocardiogram pattern. METHODS: This retrospective study was performed on acute coronary syndrome (ACS), patients with culprit lesion in left anterior descending branch (LAD), who admitted to Yongchuan Hospital of Chongqing Medical University from August 2017 to October 2018. Patients were categorized into those with or without the de Winter electrocardiogram pattern. The characteristics of de Winter electrocardiogram were analyzed by the clinical data of the patients. RESULTS: =0.01]. Coronary angiography results indicated anterior descending or diagonal branch lesions. CONCLUSIONS: The de Winter electrocardiogram pattern syndrome in patients with acute chest pain mostly indicates that the left anterior descending or the diagonal branch is subtotal or completely occluded, which is a special ST-segment elevation myocardial infarction equivalent and should attract the clinicians' extensive attention.
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Liu et al. (2020) studied this question.
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