Atypical and delayed de Winter electrocardiograph pattern A case report
Atypical and delayed de Winter electrocardiograph pattern A case report
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非典型及迟发性德温特心电图一例报告
DOI：
10.1097/md.0000000000015436
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发表时间：
2019
期刊：
影响因子：
1.6
通讯作者：
Lu Yan
中科院分区：
文献类型：
--
作者：
Yang Yingchao;Ma Yeshuo;Yin Da;Zhang Ying;Song Wei;Cheng Yunpeng;Fu Tingting;Zhang Ri;Liu Yue;Kang Kai;Wang Lixin;Jiang Yinong;Lu Yan
干预：经皮冠状动脉介入治疗置入支架。结果：患者胸痛缓解，hs-cTnI无进一步升高。术后心电图显示V4~V6导联ST段回落至基线，但V1~V3导联ST段持续抬高伴QS或Q波。结论：及时诊断De冬季心电模式非常重要，尤其是不典型或延迟的心电图改变。应作为ST段抬高心肌梗死的等价物进行治疗，并进行急诊血运重建治疗。
Interventions:A stent was implanted through percutaneous coronary intervention.Outcomes:The patient's chest pain was relieved without further increase of hs-cTnI. ECG after procedure showed ST segment back to baseline in leads V4 to V6, but persistent ST elevation in V1 to V3 with QS or Q wave.Lessons:Timely diagnosis of de Winter ECG pattern is very important, especially the atypical and delayed ECG changes. It should be treated as ST elevation myocardial infarction equivalent and deserves emergent revascularization therapy.