Evidence map›Paper›PMID 33442615›Full record

ArticleEuropean heart journal. Case reports2020

The de Winter's pattern revisited: a case series.

Thadathilankal-Jess John, Alfonso Pecoraro, Hellmuth Weich, Lloyd Joubert, Bradley Griffiths, Philip Herbst

Open access · goldAbstract read
In one paragraph

Article in European heart journal. Case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.2field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Coronary Angiographic Features of de Winter Syndrome: More Than Just Occlusion of the Left Anterior Descending Artery.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2024
    Article
  5. Article
  6. The rare presentation of the de Winter's pattern: Case report and literature review.American heart journal plus : cardiology research and practice · 2021
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 1 institution in 1 country.

Thadathilankal-Jess JohnDivision of Cardiology, Department of Medicine Stellenbosch University & Tygerberg Academic Hospital PO Box 241, Cape Town 8000, South Africa.ORCID 0000-0002-4152-0868
Alfonso PecoraroDivision of Cardiology, Department of Medicine Stellenbosch University & Tygerberg Academic Hospital PO Box 241, Cape Town 8000, South Africa.ORCID 0000-0001-6549-9402
Hellmuth WeichDivision of Cardiology, Department of Medicine Stellenbosch University & Tygerberg Academic Hospital PO Box 241, Cape Town 8000, South Africa.ORCID 0000-0002-4283-0198
Lloyd JoubertDivision of Cardiology, Department of Medicine Stellenbosch University & Tygerberg Academic Hospital PO Box 241, Cape Town 8000, South Africa.ORCID 0000-0002-5753-3962
Bradley GriffithsDivision of Cardiology, Department of Medicine Stellenbosch University & Tygerberg Academic Hospital PO Box 241, Cape Town 8000, South Africa.
Philip HerbstDivision of Cardiology, Department of Medicine Stellenbosch University & Tygerberg Academic Hospital PO Box 241, Cape Town 8000, South Africa.ORCID 0000-0002-7111-1993
Stellenbosch University · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe de Winter's electrocardiogram (ECG) pattern signifying proximal left anterior descending (LAD) artery occlusion was first described in 2008. The ECG changes were thought to be static and mechanisms for this were suggested. In addition, the optimal management of these patients was reported to be via a primary percutaneous coronary intervention (PCI) strategy. CASE SUMMARY: DISCUSSION: The two cases highlight that the de Winter's pattern may in fact not be static, but rather lie along the continuum of ischaemia and may evolve into STEMI. In addition, we provide further evidence that if primary PCI cannot be offered in a timeous manner, thrombolytic therapy may be considered in such patients. The de Winter's pattern remains a high-risk ECG pattern that requires early recognition and intervention.

Indexed as

Case seriesDe Winter’s ECGHigh-risk ECGLAD occlusionPharmacoinvasive strategySTEMI

Identifiers

PMID33442615
PMCPMC7793130
OpenAlexW3108617163

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.