伴ST段动态演变的de Winter综合征一例

A Case of De Winter Syndrome with Dynamic ST Segment Evolution

de Winter综合征是一种特殊的心电图现象,意味着左前降支冠状动脉急性次全闭塞或完全闭塞,在临床上并不常见。先前的观点认为它是一种静止状态,但在本例患者中,它的心电图示动态演变的。笔者认为de Winter模式可能是血栓病变,并且可以根据心电图是否有动态演变大致分为两类。

De Winter syndrome,a special electrocardiogram of acute total occlusion or subtotal occlusion of left anterior descending coronary artery,is not common in clinical practice.It has been generally considered static,whereas the electrocardiogram changes dynamically in this case.We propose that de Winter pattern may indicate a thrombotic disease and can be roughly divided into two types according to whether the electrocardiogram changes dynamically.