De Winters modified electrocardiogram pattern.

R C Rodrigues,D Pereira,S Gomes,A Drumond

doi:10.1007/s12471-016-0836-4

Abstract

A 59-year-old patient with a family history of coronary artery disease and no other risk factors arrived at the emergency department with typical angina chest pain lasting for 60 minutes. The admission electrocardiogram showed 1 mm upsloping ST-segment depression at the J point in leads V3–V6 without peaked T waves (Fig. 1a). The patient underwent primary percutaneous transluminal coronary angioplasty where a kissing ostium was found and proximal anterior descending artery (LAD) occlusion was identified and stented with a drug-eluting stent (Fig. 1b), with successful reperfusion. The patient’s stay in hospital was uneventful.

Highlights

This patient displayed a typical upsloping ST-segment depression but without typical peaked T-waves or aVR STsegment elevation, which is usually associated with a characteristic electrocardiogram pattern first described by De Winters [1] and associated to proximal LAD occlusion
A 59-year-old patient with a family history of coronary artery disease and no other risk factors arrived at the emergency department with typical angina chest pain lasting for 60 minutes
The patient’s stay in hospital was uneventful

Summary

Introduction

This patient displayed a typical upsloping ST-segment depression but without typical peaked T-waves or aVR STsegment elevation, which is usually associated with a characteristic electrocardiogram pattern first described by De Winters [1] and associated to proximal LAD occlusion.

Results

Conclusion