心电图de Winter征的认识进展

The understanding of the progress of de Winter ECG pattern

正确判读心电图能快速给予临床医生心肌缺血或损伤的证据信息,也是诊断心肌梗死的重要依据之一。在急性冠脉综合征患者中,存在部分少见但具有特征性改变的心电图,极易漏诊和误诊。de Winter心电图改变是其中的一种,其多提示冠状动脉前降支近端急性闭塞,被认为是急性ST段抬高型心肌梗死的等危症,需要早期识别,并进行有效的再灌注治疗,以改善患者的预后。

Clinicians are able to quickly find evidence of myocardial ischemia or damage through proper ECG interpretation, and it is also one of the most important bases for diagnosing myocardial infarction. The de Winter ECG pattern, which is considered to indicate proximal occlusion of the left anterior descending coronary artery, is one of the rare characteristic ECG changes that are often overlooked and misdiagnosed in patients with acute coronary syndrome. It is imperative to learn to recognize the de Winter ECG pattern as a "STEMI equivalent" to ensure early recognition and prompt reperfusion by cardiac catheterization to improve prognosis.