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2022, Number 2

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Rev Cubana Cardiol Cir Cardiovasc 2022; 28 (2)

Electrocardiographic pattern De Winter, another severe and atypical form of acute coronary syndrome with ST elevation

Goire GG, Oliva PS, Salas FA, de la Torre FLM, Arias OY

Language: Spanish
References: 12
Page: 1-4
PDF size: 284.07 Kb.


ABSTRACT

Chest pain continues to be one of the main reasons for consultation in the emergency department, with a heterogeneity in clinical presentation that ranges from cardiogenic shock or cardiorespiratory arrest to benign non-cardiac pathologies; therefore, the electrocardiogram is an invaluable tool for diagnosis and risk stratification. Although ST elevation myocardial infarction is known to require urgent reperfusion, there are other high-risk electrocardiographic findings associated with adverse outcomes or suggesting the imminence of acute myocardial infarction, such as the De Winter electrocardiographic pattern. Therefore, a thorough initial clinical, electrocardiographic and enzymatic evaluation are beneficial elements to make an appropriate early diagnosis and avoid fatal complications.


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