"冬季"模式,标志或综合征的现象:系统的范围审查和数据分析
Eman Elmenyar1, Mohammad Adeeb Abbara1, Zeina Al-Ghoul1
1Faculty of Medicine, Bahçeşehir University, Istanbul 34734, Türkiye.
World journal of cardiology
|February 16, 2026
概括
德温特 (dW) 模式,标志和综合征是STEMI等价物. 对于患有这种现象的患者来说,早期识别和干预至关重要,这种现象具有独特的特征.
科学领域:
- 心脏病学 心脏病学
- 紧急医疗 紧急医疗
- 电心电图是指心电图.
背景情况:
- 德温特 (dW) 模式,征兆和综合征被认为是ST升高心肌梗塞 (STEMI) 的等价物.
- 这些模式描述了特定的心电图学发现,该综合征还包括急性冠状动脉症状.
- 新出现的证据表明,dW模式可能在STEMI之前或交替出现.
研究的目的:
- 为了增强对dW模式,标志和综合征的识别.
- 倡导早期,积极的治疗策略.
- 调查呈现和结果的潜在基于性别的差异.
主要方法:
- 进行了对文献的系统范围审查.
- 从2008年11月到2025年6月,在PubMed/MEDLINE和谷歌学者中进行了搜索.
- 数据分析遵循了PRISMA-Scoping扩展指南.
主要成果:
- 确定了322名患有dW模式的患者,主要是年轻男性,患有吸烟,高血压和脂质失调等危险因素.
- 左前下垂动脉 (LAD) 是最常见的罪祸首血管 (88.5%).
- 与女性相比,男性的严重LAD狭窄率更高 (45.2%对17.7%),整体死亡率为3%.
结论:
- dW现象包括不同的人口统计学,危险因素,病理生理学和血管学特征.
- 对dW模式,标志和综合征的互换使用强调了对标准化识别的需要.
- 快速识别和紧急干预对于管理患有dW现象的患者至关重要.
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