De Winters ST-T syndrome: an early sign of STsegment elevation myocardial infarction (A case report)

• Hanen GHAZELI

  ,

Introduction: -
pattern reflects an acute thrombotic occlusion of a large epicardial coronary artery without ST-segment elevation.
In recent studies, one of these STEMI equivalents is the de-Winter T syndrome. It is defined by an upsloping ST-segment depression (>1mm) beginning from the J-point, and is symmetrical, and long, with significant T waves seen in precordial leads. This syndrome is highly predictive for acute proximal left anterior descending artery (LAD) occlusion.
Case presentation: We reported the case of a 45-year-old patient suffering from acute chest pain, presenting in our emergency department with a 'de Winter' ECG pattern which had evolved in a few minutes, after ventricular fibrillation cardiac arrest, into an anterior STEMI. Reperfusion therapy was performed with success.
Conclusion: Prompt recognition of this atypical ECG pattern can ensure the immediate detection of evolvement to a STEMI and therefore provide appropriate urgent reperfusion therapy either with percutaneous coronary intervention (PCI) or fibrinolysis if the PCI is not available. 

• PDF

Copyright (c) 2022 Tunisian Journal of Emergency Medicine

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

THE tjem allows authors to retain unrestricted copyright and full publishing rights of their articles.

All articles published in this journal are openly accessible and licensed under the Creative Commons Attribution 4.0 International License (CC BY 4.0). This guarantees that anyone is free to:

• Share: Copy and redistribute the material in any medium or format.

• Adapt: Remix, transform, and build upon the material for any purpose, even commercially.

Under the following terms:

• Attribution: Users must give appropriate credit to the original author(s) and the journal, provide a link to the license, and indicate if changes were made.

By submitting a manuscript to tjem, authors grant the journal the right of first publication, while retaining full ownership of their intellectual property.