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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 Cardiol+Res
2017 ; 8
(4
): 165-168
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A Novel Electrocardiographic Sign of an ST-Segment Elevation Myocardial
Infarction-Equivalent: De Winter Syndrome
#MMPMID28868102
Goktas MU
; Sogut O
; Yigit M
; Kaplan O
Cardiol Res
2017[Aug]; 8
(4
): 165-168
PMID28868102
show ga
Patients with de Winter syndrome, also termed anterior ST-segment elevation
myocardial infarction (STEMI)-equivalent, represent 2% of all patients with acute
anterior myocardial infarctions admitted to emergency departments (EDs).
STEMI-equivalents do not present with classical electrocardiogram (ECG) changes
but exhibit a critical stenosis of the left anterior descending (LAD) coronary
artery. This is under-recognized by clinicians and is therefore associated with
high morbidity and mortality. Here, we report a rare case of a novel, typical,
STEMI-equivalent ECG pattern without obvious ST-segment elevation in a
34-year-old female who presented to our ED with substantial chest pain and a
large, acute, transmural anterior myocardial infarction caused by acute occlusion
of the LAD coronary artery. However, she presented as a non-STEMI case. A
definite diagnosis of de Winter syndrome was made on the basis of clinical and
ECG findings.