Nstemi “But” Stemi-De Winters Sign
Prem Krishna Anandan *
Department of cardiology, Sri Jayadeva Institute of Caridovascular Science & Research, Bengaluru, Karnataka, India
Subramanyam K
Department of cardiology, Sri Jayadeva Institute of Caridovascular Science & Research, Bengaluru, Karnataka, India
Shivananda Patil
Department of cardiology, Sri Jayadeva Institute of Caridovascular Science & Research, Bengaluru, Karnataka, India
R. Rangaraj
Department of cardiology, Sri Jayadeva Institute of Caridovascular Science & Research, Bengaluru, Karnataka, India
Cholenahally Nanjappa Manjunath
Department of cardiology, Sri Jayadeva Institute of Caridovascular Science & Research, Bengaluru, Karnataka, India
*Author to whom correspondence should be addressed.
Abstract
Anterior ST elevation myocardial infarction can present with a specific electrocardiographic (ECG) pattern without ST segment elevations, known as De Winter sign. Recognizing this ECG pattern is important since it is considered an equivalent to ST elevation myocardial infarction (STEMI), hence may require thrombolysis when primary PCI facilities are not available or delayed. We report a28 year old male who presented to us with de winters ecg pattern. Subsequent coronary angiogram showed Proxmial left anterior descending (LAD) artery occlusion.
Keywords: De winters sign, proximal left anterior descending artery, STEMI, STEMI equivalent