de Winter综合征一例

A case report of de Winter syndrome

de Winter综合征的出现多提示危重心血管疾病发生的可能,如不及时干预可导致严重不良心血管事件,但因其罕见且心电图表现不明显,易被忽视。本文报告1例心电图呈de Winter改变的青年男性患者,因突发胸痛就诊,冠状动脉造影示左前降支(LAD)近端完全闭塞,因及时行冠状动脉造影及支架植入术,预后良好。故笔者认为提高广大医务工作者对此类特殊心电图的识别能力,对改善此类患者的预后极为必要。

The emergence of de Winter syndrome indicates the occurrence of critical cardiovascular diseases. Serious adverse cardiovascular events can be caused by untimely intervention, but they are easily overlooked because of their rarity and the characteristics of electrocardiogram(ECG). We reported a case of a young man with de Winter syndrome, whose initial complaint was acute chest pain. The result of ECG showed changes of de Winter sign. It was associated with proximal occlusion of the left anterior descending(LAD) coronary artery. Timely reperfusion therapy by means of primary percutaneous coronary intervention(PCI) was the preferred treatment for patient with de Winter syndrome. The subsequent clinical course was uneventful. Therefore, it is necessary to improve the recognition ability of medical workers for such special ECG to improve the prognosis of such patients.