南方医科大学学报2020，Vol.40Issue(7)：919-921,3.DOI:10.12122/j.issn.1673-4254.2020.07.01
de Winter综合征,一种易被忽视却致命的疾病:1例报告
de Winter syndrome, an easily ignored but life-threatening disease:a case report
肖园园 1樊仲国 1徐宝 2何胜虎1
作者信息
- 1. 扬州大学附属苏北人民医院心血管内科,江苏 扬州 225001
- 2. 大连医科大学,辽宁 大连 116044
- 折叠
摘要
Abstract
de Winter syndrome is a special equivalent of anterior ST-segment elevation myocardial infarction (STEMI) characterized by the absence of overt ST-elevation with upsloping ST-segment depression followed by tall symmetrical T-waves in the precordial leads, often associated with total occlusion of the proximal left anterior descending coronary artery. Herein we present a case of de Winter syndrome in a 63-year-old man, whose initial ECG showed no ST-segment elevation, but subsequent coronary angiography confirmed total occlusion of the proximal LAD coronary artery. The patient was successfully treated via mechanical reperfusion therapy and stenting through percutaneous coronary intervention (PCI). de Winter syndrome is associated with a high mortality often due to insufficient awareness of this condition by clinicians. Immediate reperfusion therapy by PCI is the life-saving treatment for the patients diagnosed with this syndrome, and prompt recognition of the ECG pattern is critical to ensure the timely administration of the therapy.关键词
deWinter综合征/ST段抬高型心肌梗死/左前降支/经皮冠状动脉介入术Key words
de Winter syndrome/ST-segment elevation myocardial infarction/left anterior descending/percutaneous coronary intervention引用本文复制引用
肖园园,樊仲国,徐宝,何胜虎..de Winter综合征,一种易被忽视却致命的疾病:1例报告[J].南方医科大学学报,2020,40(7):919-921,3.
