De winter综合征心电图改变患者冠脉造影

Recognization De winter syndrome with six cases studies

目的探讨以急性胸痛发病的de winter综合征心电图改变患者的冠脉造影情况。方法回顾近7年符合de winter综合征心电图特征患者共6例,男女之比5∶1,平均年龄53岁,排除其它原因引起的胸痛之后,于2~69小时内进行了冠脉造影。结果 5例患者冠脉造影结果均为LAD近段95%以上狭窄,1例为LAD近段巨大血栓,前向血流TIMI 1级2例,TIMI 2级3例,TIMI 3级1例。结论 De winter综合征是STEMI的等危心电图,及时有效开通罪犯血管,挽救频死心肌。

Objective To investigate the impact of the electrocardiography of De winter syndrome manifesting as acute chest-pain on the changes of the coronary angiografhy of patients. Methods Review six cases with patients demonsrating the synptom of the De winter syndrome after confirming that the chest pain was not caused by other factors. The ratio of maie to femaie is 5： 1 and the average age is 53 years old. The coronary angiography was performed on the individual patient within 2-69 hours. Results The coronary angiografhy of five patients showed more than 95% of the proximal LAD was stenosis. One case illustrated a huge thrombus in the proximal LAD. Two cases revealed the level of TIMI Ⅰforeword blood stream,three cases at the level of TIMI Ⅱ and one case at the level of TIMI Ⅲ. Conclusion De winter syndrome is the allelic electrocardiogram of STEMI. Unblocking the criminal vessel could effectively save the ischemic myocardium.