“De Winter” pattern in patients with non-ST-segment elevation acute coronary syndrome

Authors

  • Luis M. de la Torre Fonseca Hospital Clínico Quirúrgico Docente Manuel Fajardo
  • Anabel Pérez Fernández
  • Lila Echavarría Sifontes
  • Jorge Mederos Hernández
  • Jesús M. Rojas-Velázquez
  • Milagro Machín-Legón
  • Alejandro Giralt-Herrera

Abstract

“De Winter” pattern was first described by Robbert J. de Winter in 2008. It is an electrocardiographic sign characterized by ST-segment depression of 1-3 mm, in precordial leads (V1-V4), with a high and symmetrical T wave in the same leads, associated with ST-segment elevation in aVR, which represents a severe lesion of the proximal left anterior descending artery. The case report presented corresponds to 22-year-old man who came to the emergency department with the mentioned electrocardiographic changes; in the coronary angiography is confirmed the presence of a severe, occlusive lesion (100%), of ostial location, in the left anterior descending artery, on which a percutaneous transluminal coronary angioplasty was successfully performed.

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Author Biography

Luis M. de la Torre Fonseca, Hospital Clínico Quirúrgico Docente Manuel Fajardo

Especialista de 1er grado en Cardiología. Servicio de Cuidados Coronarios. hospital Manuel Fajardo.

References

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Published

2019-10-28

How to Cite

1.
de la Torre Fonseca LM, Pérez Fernández A, Echavarría Sifontes L, Mederos Hernández J, Rojas-Velázquez JM, Machín-Legón M, et al. “De Winter” pattern in patients with non-ST-segment elevation acute coronary syndrome. CorSalud [Internet]. 2019 Oct. 28 [cited 2025 Jun. 22];11(4):332-6. Available from: https://revcorsalud.sld.cu/index.php/cors/article/view/409

Issue

Vol. 11 No. 4 (2019)

Section

CASE REPORTS

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