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De Winter Pattern Caused by a Large Diagonal Branch Culprit Lesion

Andrea Demarchi1, Laura Frigerio, Roberto Rordorf

  • 1Cardiocentro Ticino Institute, Ente Ospedaliero Cantonale, Lugano, Switzerland. andrea.demarchi@cardiocentro.org.

The Journal of Invasive Cardiology
|March 1, 2021
PubMed

Insights

A patient experienced chest pain due to blocked coronary arteries. Successful treatment revealed a specific ECG pattern indicating the blockage was in a diagonal branch, not the main artery.

Area of Science:

  • Cardiology
  • Interventional Cardiology
  • Electrocardiography

Background:

  • Chest pain during physical activity can indicate serious coronary artery disease.
  • Left anterior descending and diagonal branches are critical coronary arteries.
  • The De Winter electrocardiogram (ECG) pattern is a rare sign of acute coronary syndrome.

Keywords:
cardiac imagingelectrocardiographypercutaneous coronary intervention

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