Why the study?
Timely recognition of ECG changes indicating acute coronary artery occlusion without ST-elevation, such as De Winter's pattern, is critical for early myocardial reperfusion, reducing ischemic injury, and preventing sudden cardiac death.
Case Report (n=1)
No
Answers are grounded in this paper and cite their sources.
Timely recognition of De Winter's ECG pattern as a STEMI equivalent indicating acute LAD occlusion is critical for immediate reperfusion therapy and preventing sudden cardiac death.
De Winter’s pattern represents the equivalent of an acute ST-segment elevation myocardial infarction of anterior localization. This ECG pattern of changes is most similar to the hyperacute phase of ST-elevation anterior wall myocardial infarction and is one of the ECG signs of OMI and should be managed according to the STEMI protocol. This paper presents the case of a 49-year-old male with chest pain and overt coronary artery disease risk factors, and this specific ECG pattern. The aim of this paper is to highlight that the timely recognition of ECG changes indicating acute coronary artery occlusion in the absence of ST-elevation is of great importance for early myocardium reperfusion, reduction of the ischemic zone and scarring, as well as prevention of sudden cardiac death from coronary disease.
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Scepanovic et al. (2026) conducted a case report in Acute myocardial infarction with De Winter's ECG pattern and left anterior descending artery occlusion (n=1). Primary percutaneous coronary intervention with implantation of a single drug-coated stent and defibrillation was evaluated on Successful coronary reperfusion and hospital discharge.
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