Clinical characteristics of patients with the de Winter electrocardiogram pattern.
10.11817/j.issn.1672-7347.2020.190276
- Author:
Li LIU
1
;
Jie TIAN
2
;
Aihua WANG
2
;
Shuang YANG
2
;
Xiaodan XU
2
;
Zijun CHEN
3
Author Information
1. Department of Cardiology, Yongchuan Hospital of Chongqing Medical University, Chongqing 402160, China. 670330086@qq.com.
2. Department of Cardiology, Yongchuan Hospital of Chongqing Medical University, Chongqing 402160, China.
3. Department of Cardiology, Yongchuan Hospital of Chongqing Medical University, Chongqing 402160, China. chenzijun@cqmu.edu.cn.
- Publication Type:Journal Article
- Keywords:
de Winter electrocardiogram pattern syndrome;
percutaneous coronary intervention;
thrombolytic therapy
- MeSH:
Acute Coronary Syndrome/diagnosis*;
Adult;
Aged;
Coronary Angiography;
Electrocardiography;
Humans;
Middle Aged;
Retrospective Studies;
ST Elevation Myocardial Infarction
- From:
Journal of Central South University(Medical Sciences)
2020;45(12):1431-1436
- CountryChina
- Language:English
-
Abstract:
OBJECTIVES:To explore the electrocardiogram manifestations and clinical characteristics of patients with the de Winter electrocardiogram pattern.
METHODS:This retrospective study was performed on acute coronary syndrome (ACS), patients with culprit lesion in left anterior descending branch (LAD), who admitted to Yongchuan Hospital of Chongqing Medical University from August 2017 to October 2018. Patients were categorized into those with or without the de Winter electrocardiogram pattern. The characteristics of de Winter electrocardiogram were analyzed by the clinical data of the patients.
RESULTS:Among 230 patients with left anterior descending branch lesion, 14 (6%) had the de Winter electrocardiogram pattern. Compared with the control group, patients with de Winter electrocardiogram pattern were younger [(53.86±10.26) years old vs (67.20± 11.60) years old
CONCLUSIONS:The de Winter electrocardiogram pattern syndrome in patients with acute chest pain mostly indicates that the left anterior descending or the diagonal branch is subtotal or completely occluded, which is a special ST-segment elevation myocardial infarction equivalent and should attract the clinicians' extensive attention.
