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. 2019 Oct 30;1(4):663-665.
doi: 10.1016/j.jaccas.2019.09.007. eCollection 2019 Dec.

Occluded or Not?: A Subtle Electrocardiographic Answer

Anne-Flore Plane  1 , Xavier Valette  2 , Katrien Blanchart  1 , Pierre Ardouin  1 , Farzin Beygui  1   3 , Vincent Roule  1   3
Affiliations

Occluded or Not?: A Subtle Electrocardiographic Answer

Anne-Flore Plane et al. JACC Case Rep. .

Abstract

This report describes the case of a 48-year-old man whose electrocardiogram after cardiopulmonary resuscitation showed up-sloping ST-segment depression at the J point in precordial leads combined with tall symmetrical T waves. This electrocardiographic pattern corresponded to de Winter syndrome and is related to proximal left anterior descending coronary artery occlusion. (Level of Difficulty: Beginner.).

Keywords: ECG, electrocardiographic; LAD, left anterior descending coronary artery; anterior myocardial infarction; de Winter pattern; electrocardiogram.

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Figures

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Graphical abstract
Figure 1
Figure 1
De Winter ECG Pattern Electrocardiogram (ECG) (A) after hemodynamic stabilization and (B) 30 min later. The electrocardiograms show up-sloping ST-segment depression at the J point in the precordial leads combined with tall symmetrical T waves, ST-segment depression in the inferior leads, and slight ST-segment elevation in lead aVR. See Video 1.
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References

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