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A nuanced diagnosis with grave implications: importance of a rare ECG Pattern


Abstract

De winter syndrome is a rare ECG pattern indicating proximal LAD occlusion and has been reported to be found in 2 percent of patients presenting with acute anterior myocardial infarction. This ECG pattern has been described as a STEMI-equivalent. Due to its rarity, recognition of this finding may be delayed and prevent the necessary prompt reperfusion therapy.

Keywords

hypertension, ECG, acute anterior myocardial infarction, hyperlipidemia, hepatitis C, drug-eluting stent, percutaneous coronary intervention, ST-segment

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