ArticleESC heart failure2022
Evolutionary de Winter pattern: from STEMI to de Winter ECG-a case report.
Article in ESC heart failure, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed, 6 citations in OpenAlex.
- de Winter-like anterior electrocardiographic changes coexisting with inferior ST-elevation myocardial infarction: a case report and literature insight.Journal of cardiothoracic surgery · 2026Review
- Phenomenon of "de Winter" pattern, sign, or syndrome: A systematic scoping review and data analysis.World journal of cardiology · 2026Article
- Comprehensive analysis of clinical features, electrocardiogram, and imaging in de Winter syndrome.Frontiers in cardiovascular medicine · 2026Article
- The dynamic evolution of the de Winter ECG pattern that is easily overlooked and life-threatening: a case report and literature review.Frontiers in cardiovascular medicine · 2025Article
- 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 · 2024Article
- The De Winter-like electrocardiogram pattern associated with multi-vessel disease.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2022Article
- Myocardial Ischemia in Patients with COVID-19 Infection: Between Pathophysiological Mechanisms and Electrocardiographic Findings.Life (Basel, Switzerland) · 2022Review
- Evolutionary de Winter pattern: from STEMI to de Winter ECG-a case report.ESC heart failure · 2022Article
Corrections and comments
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The de Winter electrocardiography (ECG) pattern is a sign that implies proximal left anterior descending coronary artery occlusion in patients with chest pain. We report a case of a 34-year-old man with a history of smoking who presented to the local emergency department with a 49 min history of chest pain. The first ECG of the patient indicated that ST-segment elevation was noted in the lead V2-V4; 57 min later, a second ECG revealed a typical de Winter syndrome when the patient was transferred to the emergency chest pain centre of our hospital. A percutaneous coronary intervention (PCI) was performed approximately 8 h later because the patient initially refused the PCI. Acute coronary artery angiography showed that the proximal left anterior descending coronary artery was completely occluded. Our case suggests that ST-segment elevation myocardial infarction may evolve in the direction of de Winter, which reflects a coronary thrombus in formation, so the de Winter ECG pattern should not be considered static.
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Registered trials
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.