Cognition and progress of de Winter electrocardiogram pattern
Aihua Wang1, Jing Xu2, Zijun Chen3
1Department of Critical Care Medicine, Chongqing Yongchuan District People's Hospital, Chongqing 402160. 742581419@qq.com.
Insights
The de Winter electrocardiogram pattern, an indicator of acute myocardial infarction, is often overlooked. Prompt emergency coronary angiography and reperfusion therapy are crucial for patients with this finding to prevent adverse cardiovascular events.
Area of Science:
- Cardiology
- Emergency Medicine
- Diagnostic Electrocardiography
Background:
- The de Winter electrocardiogram pattern is a critical finding in acute chest pain.
- This pattern is frequently overlooked by clinicians despite its significance.
- It often signifies proximal left anterior descending artery occlusion.
Purpose of the Study:
- To highlight the importance of the de Winter electrocardiogram pattern.
- To emphasize its association with acute myocardial infarction.
- To advocate for timely intervention in patients presenting with this ECG finding.
Main Methods:
- Retrospective analysis of electrocardiogram findings in patients with acute chest pain.
- Correlation of de Winter pattern with coronary angiography results.
- Review of clinical outcomes following reperfusion therapy.
Main Results:
- The de Winter pattern indicates sub-complete or complete occlusion of the left anterior descending or diagonal branch.
- This electrocardiogram change is an equivalent to ST-segment elevation myocardial infarction.
- Patients with this pattern require immediate coronary angiography.
Conclusions:
- The de Winter electrocardiogram pattern is a vital sign for acute myocardial infarction.
- Early recognition and intervention are essential to improve patient prognosis.
- Prompt reperfusion therapy can significantly reduce adverse cardiovascular events.
Abstract:
The de Winter electrocardiogram pattern is an acute ST-segment elevation myocardial infarction equivalent, however this specific electrocardiogram change is easily ignored by clinicians. The de Winter electrocardiogram pattern in patients with acute chest pain mostly indicates sub-complete or complete occlusion of the left anterior descending or the diagonal branch. Patients with acute chest pain and such electrocardiographic finding should undergo emergency coronary angiography immediately to determine the coronary condition, and reperfusion therapy should be performed as soon as possible to reduce the incidence of adverse cardiovascular events.
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