[A Case of De Winter Syndrome with Dynamic ST Segment Evolution]

Area of Science:

• Cardiology
• Electrocardiography
• Vascular Medicine

Background:

• De Winter syndrome is a rare electrocardiogram pattern associated with acute left anterior descending coronary artery occlusion.
• It is often perceived as a static finding in clinical practice.

Observation:

• The electrocardiogram in de Winter syndrome exhibits dynamic changes, contrary to the static view.
• These dynamic electrocardiogram alterations are crucial for accurate diagnosis.

Findings:

• De Winter pattern is proposed to indicate an underlying thrombotic disease.
• The syndrome can be categorized into two types based on the dynamic nature of electrocardiogram changes.

Implications:

• Recognizing the dynamic nature of de Winter syndrome improves diagnostic accuracy for acute coronary artery occlusion.
• Further research into the thrombotic basis of this syndrome is warranted.
• Classification based on ECG dynamics may refine patient management strategies.