Abstract

What does it mean when we integrate a typical clinical presentation with a specific ECG pattern? A 72-year-old male smoker with arterial hypertension and hypercholesterolemia went to the emergency department with intense chest pain with 2 hours of evolution. The initial electrocardiogram revealed sinus rhythm at 84 bpm and ST-segment depression with symmetrical T-wave elevation in leads V2-V6, consistent with a De Winter pattern (Figure 1).

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