Published in:
Open Access 01-05-2016 | Heart Beat
De Winters modified electrocardiogram pattern
Published in: Netherlands Heart Journal | Issue 5/2016
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A 59-year-old patient with a family history of coronary artery disease and no other risk factors arrived at the emergency department with typical angina chest pain lasting for 60 minutes. The admission electrocardiogram showed 1 mm upsloping ST-segment depression at the J point in leads V3–V6 without peaked T waves (Fig. 1a). The patient underwent primary percutaneous transluminal coronary angioplasty where a kissing ostium was found and proximal anterior descending artery (LAD) occlusion was identified and stented with a drug-eluting stent (Fig. 1b), with successful reperfusion. The patient’s stay in hospital was uneventful.
Fig. 1
a 12-lead electrocardiogram showing the “modified de Winters” pattern with 1mm upsloping ST-segment depression at the J point in leads V3 to V6; b Angiogram showing a left kissing ostium and occlusion of proximal left anterior descending artery (left) and selective left anterior descending artery catheterization revealing good final result (right)
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