从de Winter到Wellens的动态心电图变化——急性冠状动脉综合征的罕见心电图变化

Q4 Medicine

Journal of Cardiology Cases Pub Date : 2025-04-01 DOI:10.1016/j.jccase.2024.12.004

Naoki Arima MD, Naohito Yamasaki MD, PhD, Tomoki Furushima MD, Yuya Miyamoto MD, Toshihiro Moriki MD, Kazuya Miyagawa MD, Tatsuya Noguchi MD, PhD, Toru Kubo MD, PhD, FJCC , Hiroaki Kitaoka MD, PhD, FJCC

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引用次数: 0

摘要

一名70岁男性主诉胸痛。他的心电图显示德温特型，提示左前降支闭塞。他的症状在30分钟内自行消退 。这一次，他的心电图显示了韦伦斯症征。很少看到一个病人从德温特变成韦伦斯。学习目标认识到de Winter's和Wellens' s心电图（ECG）模式是急性冠脉综合征（ACS）的高危心电图，特别是与左前降支病变有关。获得ACS患者的连续心电图，以检测冠状动脉新出现的变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Dynamic ECG change from de Winter to Wellens - Rare ECG change in acute coronary syndrome

A 70-year-old male complained of chest pain. His electrocardiogram (ECG) revealed the De Winter pattern, which indicates left anterior descending artery occlusion. His symptoms spontaneously resolved within 30 min. This time, his ECG showed Wellens's sign. It is rare to see a change from De Winter to Wellens in one patient.

Learning objectives

Recognize de Winter's and Wellens' electrocardiogram (ECG) patterns as high-risk ECG for acute coronary syndrome (ACS), specifically related to left anterior descending artery lesions. Obtain serial ECGs in ACS patients to detect newly emerging changes in the coronary artery.

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