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10.14740/cr576w

http://scihub22266oqcxt.onion/10.14740/cr576w
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C5574289!5574289!28868102
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suck abstract from ncbi


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pmid28868102      Cardiol+Res 2017 ; 8 (4): 165-8
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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): 165-8 PMID28868102show 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.
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