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Research Article Open access CC BY 4.0

Nstemi “But” Stemi-De Winters Sign

Prem Krishna Anandan, Subramanyam K, Shivananda Patil, R. Rangaraj, Cholenahally Nanjappa Manjunath

Cardiology and Angiology: An International Journal · pp. 162–166 · Published 27 Apr 2015

10.9734/CA/2015/17599

Abstract

Anterior ST elevation myocardial infarction can present with a specific electrocardiographic (ECG) pattern without ST segment elevations, known as De Winter sign. Recognizing this ECG pattern is important since it is considered an equivalent to ST elevation myocardial infarction (STEMI), hence may require thrombolysis when primary PCI facilities are not available or delayed. We report a28 year old male who presented to us with de winters ecg pattern. Subsequent coronary angiogram showed Proxmial left anterior descending (LAD) artery occlusion.  

De winters sign proximal left anterior descending artery STEMI STEMI equivalent

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