Atypical de Winter ECG: What is the Culprit?

Various ECG patterns can help determine the location of the occluded coronary artery and the extent of threatened myocardium. The reported positive predictive value for de Winter ECG in predicting acute left anterior descending artery occlusion is inconsistent. Additionally, the morphology of ST dep...

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Bibliographic Details
Published inThe Journal of Tehran University Heart Center
Main Authors Rachmi, Dita Aulia, Mulia, Eka Prasetya Budi, Fagi, Rosi Amrilla
Format Journal Article
LanguageEnglish
Published 07.08.2024
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Summary:Various ECG patterns can help determine the location of the occluded coronary artery and the extent of threatened myocardium. The reported positive predictive value for de Winter ECG in predicting acute left anterior descending artery occlusion is inconsistent. Additionally, the morphology of ST depression and other ECG findings may have varying degrees of severity and prognostic significance. This case demonstrates the importance of integrating multiple ECG findings, such as ST elevation, Q waves, and the R/S ratio, with the location of the de Winter pattern on various ECG leads to accurately predict the culprit artery and assess the anatomical extent of myocardial ischemia.
ISSN:1735-8620
2008-2371
DOI:10.18502/jthc.v19i2.16204