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The De Winter-like electrocardiogram pattern in inferior and lateral leads associated with left circumflex coronary

Qingxing Chen1, Tian Zou1, Yang Pang1

  • 1Cardiology Department, Zhongshan Hospital, Fudan University, 180 Fenglin Road, Shanghai, 200032, China.

ESC Heart Failure
|September 15, 2020
PubMed

Insights

De Winter-like electrocardiogram (ECG) patterns can indicate acute coronary artery occlusion, even in the less common left circumflex artery. Prompt treatment led to symptom relief and ECG normalization in a recent case.

Area of Science:

  • Cardiology
  • Electrocardiography
  • Medical Case Reports

Background:

  • De Winter-like electrocardiogram (ECG) patterns are typically associated with acute coronary syndromes.
  • These ECG findings often indicate occlusion of the left anterior descending or right coronary arteries.

Observation:

  • A case report details a patient with acute coronary syndrome presenting with a De Winter-like ECG pattern.
  • The observed ECG changes were localized to the inferior and lateral leads.

Findings:

  • The De Winter-like ECG pattern in this patient was associated with occlusion of the left circumflex coronary artery.
  • Successful reperfusion therapy resulted in significant symptom improvement and normalization of the ST-segment.

Implications:

  • De Winter-like ECG changes can serve as an important indicator for acute occlusion in various coronary arteries, including the left circumflex artery.
  • Clinicians should consider the left circumflex artery when interpreting De Winter-like ECG patterns in acute coronary syndrome cases.

Keywords:
Coronary artery occlusionDe Winter syndrome

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