The de Winter pattern in a single precordial lead caused by high-grade stenosis of the proximal left anterior descending artery with plaque rupture: A case report
The de Winter electrocardiogram (ECG) pattern indicates severe stenosis or occlusion of the left anterior descending artery (LAD). We present a 72-year-old female with 1.5-h chest pain. Angiography and optical coherence tomography (OCT) revealed 90 % LAD stenosis with plaque rupture, but no ST-segment elevation in the precordial leads. The de Winter pattern, characterized by upsloping ST-segment depression in V1-V6, appeared only in lead V2. Following successful percutaneous coronary intervention (PCI), the de Winter pattern disappeared. This case underscores the significance of the de Winter pattern in one precordial lead, necessitating prompt angiography and PCI for improved patient outcomes.
Authors
- Zhizhou Song
- Yuehong Huo
- Y Yang (ORCID: https://orcid.org/0009-0003-0227-4734)
- Qi Wu (ORCID: https://orcid.org/0000-0002-1309-7054)
- Xinjian Yu (ORCID: https://orcid.org/0000-0002-6279-1544)
- Xia Li (ORCID: https://orcid.org/0000-0002-5432-1665)
- Zejun Meng
Institutions
- Baylor College of Medicine (US)
- Shanxi University (CN)
- Quantitative BioSciences (US)
- Shanxi University of Traditional Chinese Medicine (CN)
- Shanxi Datong University (CN)
Publication Details
- Journal
- Heliyon
- Published
- 2024-09-01
- DOI
- https://doi.org/10.1016/j.heliyon.2024.e37135
- Primary Topic
- Acute Myocardial Infarction Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00