Open AccessThe de Winter electrocardiographic pattern evolves to ST elevation in acute total left main occlusion: A case series
Author(s) -
Liu ChunWei,
Zhang JingXia,
Hu YueCheng,
Wang Le,
Zhang YingYi,
Cong HongLiang
Publication year - 2022
Publication title -
annals of noninvasive electrocardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.494
H-Index - 48
eISSN - 1542-474X
pISSN - 1082-720X
DOI - 10.1111/anec.12855
Subject(s) - medicine , st segment , st elevation , occlusion , cardiology , electrocardiography , precordial examination , t wave , elevation (ballistics) , coronary occlusion , myocardial infarction , geometry , mathematics
Abstract The de Winter electrocardiographic (ECG) pattern was characterized by upsloping ST‐segment depressions, tall and positive symmetrical T waves in precordial leads. This rare ECG pattern was recognized as an indication of proximal left anterior descending artery occlusion. Less commonly, this ECG pattern was reported in association with occlusion of other coronary artery segments. We present three cases of the de Winter pattern associated with acute total left main occlusion. This pattern may evolve to ST elevation within hours of presentation. Widespread upsloping ST‐segment depressions from V 2 –V 6 , centered on V 5 were observed in these patients.