de Winter Electrocardiographic Pattern Caused by Diagonal Branch Lesion

Yuzo Hirase, MD; Minoru Wake, MD; Kazuhito Hirata, MD

JACC: Case Reports (Aug 2020)

de Winter Electrocardiographic Pattern Caused by Diagonal Branch Lesion

Yuzo Hirase, MD,
Minoru Wake, MD,
Kazuhito Hirata, MD

Affiliations

Yuzo Hirase, MD: Division of Cardiology, Okinawa Chubu Hospital, Uruma, Okinawa, Japan
Minoru Wake, MD: Division of Cardiology, Okinawa Chubu Hospital, Uruma, Okinawa, Japan
Kazuhito Hirata, MD: Address for correspondence: Dr. Kazuhito Hirata, Division of Cardiology, Okinawa Chubu Hospital, 281 Miyazato, Uruma, Okinawa 904-2293, Japan.; Division of Cardiology, Okinawa Chubu Hospital, Uruma, Okinawa, Japan

Journal volume & issue: Vol. 2, no. 10
pp. 1451 – 1453

Abstract

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A woman in her 50s developed acute coronary syndrome with de Winter pattern electrocardiogram (ECG). A coronary angiography revealed diagonal branch lesion caused by spontaneous coronary artery dissection, whereas the left-anterior descending artery was intact. The ECG change was transient and returned to normal without treatment 2 h later. (Level of Difficulty: Beginner.)

Published in JACC: Case Reports

ISSN: 2666-0849 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the circulatory (Cardiovascular) system
Website: https://www.journals.elsevier.com/jacc-case-reports

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Abstract

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