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De Winter T-wave Pattern in Proximal Left Anterior Descending Artery Occlusion

David Gregory1, Bryan Wexler1, Brent Becker1

  • 1Wellspan York Hospital, Department of Emergency Medicine, York, Pennsylvania.

Clinical Practice and Cases in Emergency Medicine
|September 14, 2020
PubMed

Insights

Atypical electrocardiogram findings, like de Winter T-waves, can indicate acute myocardial infarction. Prompt recognition of these signs is crucial for emergency providers to ensure timely treatment.

Area of Science:

  • Cardiology
  • Emergency Medicine

Background:

  • Acute myocardial infarction (AMI) requires prompt diagnosis and treatment.
  • Electrocardiogram (ECG) abnormalities are key indicators of cardiac ischemia.
  • Atypical ECG findings can delay diagnosis and treatment.

Purpose of the Study:

  • To highlight the significance of the de Winter T-wave pattern in diagnosing acute myocardial infarction.
  • To emphasize the importance of recognizing atypical ECG findings in emergency settings.

Main Methods:

  • Case report describing a patient with acute myocardial infarction.
  • Utilized electrocardiogram (ECG) to identify the de Winter T-wave pattern.
  • Confirmed diagnosis with emergent cardiac catheterization.

Main Results:

  • The patient presented with an atypical ECG showing the de Winter T-wave pattern.
  • ECG findings suggested a 100% proximal left anterior descending artery occlusion.
  • Cardiac catheterization confirmed the critical coronary artery blockage.

Conclusions:

  • The de Winter T-wave pattern is a critical indicator of acute myocardial ischemia, specifically proximal left anterior descending artery occlusion.
  • Emergency providers must be aware of and recognize atypical ECG findings like de Winter T-waves for timely intervention.
  • Early identification of such ECG patterns can significantly improve patient outcomes in acute myocardial infarction cases.
Abstract

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