Open AccessThe De Winter‐like electrocardiogram pattern in inferior and lateral leads associated with left circumflex coronary artery occlusion
Author(s) -
Chen Qingxing,
Zou Tian,
Pang Yang,
Ling Yunlong,
Zhu Wenqing
Publication year - 2020
Publication title -
esc heart failure
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.787
H-Index - 25
ISSN - 2055-5822
DOI - 10.1002/ehf2.12946
Subject(s) - medicine , circumflex , cardiology , right coronary artery , artery , occlusion , acute coronary syndrome , left coronary artery , myocardial infarction , coronary angiography
The aim of this report was to investigate coronary artery occlusion related to De Winter‐like electrocardiogram (ECG) pattern. A patient admitted to Zhongshan Hospital who was diagnosed with acute coronary syndrome with De Winter‐like ECG pattern was reviewed in our case report. In this case, we found that a De Winter‐like ECG change in the inferior and lateral leads was associated with left circumflex coronary artery occlusion. After a timely reperfusion therapy, the symptom was obviously alleviated with a normalization of upsloping ST‐segment. Doctors should be aware that De Winter‐like ECG changes can also predict acute occlusion in any coronary artery, not only in the left anterior descending artery and right coronary artery but also in the left circumflex coronary artery.