de Winter syndrome, an easily ignored but life-threatening disease: a case report / 浙江大学学报·医学版
Journal of Zhejiang University. Medical sciences
;
(6): 919-921, 2020.
Article
in Chinese
| WPRIM
| ID: wpr-828515
ABSTRACT
de Winter syndrome is a special equivalent of anterior ST-segment elevation myocardial infarction (STEMI) characterized by the absence of overt ST-elevation with upsloping ST-segment depression followed by tall symmetrical T-waves in the precordial leads, often associated with total occlusion of the proximal left anterior descending coronary artery. Herein we present a case of de Winter syndrome in a 63-year-old man, whose initial ECG showed no ST-segment elevation, but subsequent coronary angiography confirmed total occlusion of the proximal LAD coronary artery. The patient was successfully treated via mechanical reperfusion therapy and stenting through percutaneous coronary intervention (PCI). de Winter syndrome is associated with a high mortality often due to insufficient awareness of this condition by clinicians. Immediate reperfusion therapy by PCI is the life-saving treatment for the patients diagnosed with this syndrome, and prompt recognition of the ECG pattern is critical to ensure the timely administration of the therapy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Therapeutics
/
Diagnostic Imaging
/
Myocardial Reperfusion
/
Stents
/
Treatment Outcome
/
Coronary Angiography
/
Electrocardiography
/
Coronary Occlusion
/
Percutaneous Coronary Intervention
/
ST Elevation Myocardial Infarction
Type of study:
Diagnostic study
Limits:
Humans
/
Male
Language:
Chinese
Journal:
Journal of Zhejiang University. Medical sciences
Year:
2020
Type:
Article
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