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A middle-aged male patient with de Winter syndrome: a case report

Bo Lu1, Deyu Fu2, Xunjie Zhou1

  • 1Department of Cardiology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine, Shanghai University of Traditional Chinese Medicine, No. 110 Ganhe Road, Hongkou District, Shanghai, 200437, China.

BMC Cardiovascular Disorders
|July 20, 2020
PubMed

Insights

De Winter syndrome, a rare cause of acute anterior myocardial infarction, requires prompt recognition due to unique ECG changes. Early diagnosis and intervention are crucial for favorable patient outcomes.

Area of Science:

  • Cardiology
  • Emergency Medicine
  • Electrocardiography

Background:

  • De Winter syndrome is a critical condition representing 2% of acute anterior myocardial infarctions.
  • It involves severe left anterior descending (LAD) coronary artery stenosis.
  • Characteristic ECG changes are often missed by automated software and physicians, risking misdiagnosis.

Observation:

  • A 51-year-old male presented with symptoms and ECG findings indicative of de Winter syndrome.
  • Coronary angiography confirmed anterior myocardial infarction.
  • The patient received timely percutaneous coronary intervention for LAD revascularization.

Findings:

  • The patient was diagnosed with de Winter syndrome based on clinical presentation and ECG.
  • Successful percutaneous coronary intervention restored blood flow to the LAD.
  • The patient experienced positive outcomes with no complications at 4-month follow-up.

Implications:

  • Highlights the necessity of physician awareness regarding de Winter syndrome.
  • Emphasizes early recognition of atypical ECG patterns in myocardial infarction.
  • Underscores the importance of prompt revascularization for improved patient prognosis.
Abstract

Keywords:
ElectrocardiogramMyocardial infarctionRevascularizationST-elevated myocardial infarction

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