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  • Title: Evolutionary de Winter pattern: from de Winter ECG to STEMI-A case report.
    Author: Wang H, Dai XC, Zhao YT, Cheng XH.
    Journal: BMC Cardiovasc Disord; 2020 Jul 06; 20(1):324. PubMed ID: 32631247.
    Abstract:
    BACKGROUND: De Winter pattern is associated with acute occlusion in the left anterior descending coronary artery combined with upsloping ST-segment depression at the J point in leads V1 through V6 without ST-segment elevation. The ECG changes in this case were illustrated by an up-sloping ST-segment depression in the V1 to V6 leads, followed by tall and symmetrical T waves. Changes from de Winter to ST-segment elevation myocardial infarction (STEMI) are rare. CASE PRESENTATION: Our case illustrated an evolutionary de Winter sign that changed to STEMI; the patient underwent cardiac catheterization in time. CONCLUSIONS: Patients who have an electrocardiogram showing de Winter changes may require primary percutaneous coronary intervention. Emergency physicians and cardiologists should not ignore these changes.
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