Santos MY, Allouis MY, Pérez GJA

Language: Spanish
References: 10
Page: 328-331
PDF size: 769.76 Kb.

ABSTRACT

Accurate diagnosis through the electrocardiogram (ECG) is crucial when it comes to establishing certain behavior in the presence of an acute coronary syndrome. A brief review of the literature was carried out apropos of a case of de Winter ECG pattern which is an infrequent electrocardiographic pattern of complete left anterior descending artery occlusion that, if overlooked, causes the procedures required in each case to be unnecessarily delayed. Its electrocardiographic course and subsequent follow-up are presented so as not to forget that the electrocardiogram continues to be an invaluable and powerful tool in modern cardiology.

REFERENCES

1. Einthoven W. The different forms of the human electrocardiogram and their signification. Lancet. 1912;179(4622):853-61.

2. Herrick JB. Clinical features of sudden obstruction of the coronary artery. JAMA.1912;59:2015-20.

3. de Winter RJ, Verouden NJ, Wellens HJ, Wilde AA. A new ECG sign of proximal LAD occlusion. N Engl J Med. 2008;359(19):2071-3.

4. Sagie A, Sclarovsky S, Strasberg B, Kracoff O, Rechavia E, Bassevich R, et al. Acute anterior wall myocardial infarction presenting with positive T waves and without ST segment shift. Electrocardiographic features and angiographic correlation. Chest. 1989;95(6):1211-5.

5. Birnbaum Y, Sclarovsky S, Blum A, Mager A, Gabbay U. Prognostic significance of the initial electrocardiographic pattern in a first acute anterior wall myocardial infarction. Chest. 1993;103(6): 1681-7.

6. Baranchuk A, Bayés-Genis A. Naming and classifying old and new ECG phenomena. CMAJ 2016; 188(7):485-6.

7. Gorgels AP. Explanation for the electrocardiogram in subendocardial ischemia of the anterior wall of the left ventricle. J Electrocardiol. 2009; 42(3):248-9.

8. Fiol Sala M, Bayés de Luna A, Carrillo López A, García-Niebla J. El «patrón de De Winter» puede evolucionar a síndrome coronario agudo con elevación del segmento ST. Rev Esp Cardiol. 2015; 68(11):1042-3.

9. Montero-Cabezas JM, van der Kley F, Karalis I, Schalij MJ. El «patrón de De Winter» puede evolucionar a síndrome coronario agudo con elevación del segmento ST. Respuesta. Rev Esp Cardiol. 2015;68(11):1043.

10. Dressler W, Roesler H. High T waves in the earliest stage of myocardial infarction. Am Heart J. 1947;34(5):627-45.