Occluded or Not?: A Subtle Electrocardiographic Answer

Anne-Flore Plane; Xavier Valette; Katrien Blanchart; Pierre Ardouin; Farzin Beygui; Vincent Roule

doi:10.1016/j.jaccas.2019.09.007

Occluded or Not?: A Subtle Electrocardiographic Answer

JACC Case Rep. 2019 Oct 30;1(4):663-665. doi: 10.1016/j.jaccas.2019.09.007. eCollection 2019 Dec.

Authors

Anne-Flore Plane¹, Xavier Valette², Katrien Blanchart¹, Pierre Ardouin¹, Farzin Beygui^{1

3}, Vincent Roule^{1

3}

Affiliations

¹ Department of Cardiology, Caen University Hospital, Caen, France.
² Department of Medical Intensive Care, Caen University Hospital, Caen, France.
³ University of Normandy, UNICAEN, EA 4650 Signalisation, électrophysiologie et imagerie des lésions d'ischémie-reperfusion myocardique, Caen, France.

Abstract

This report describes the case of a 48-year-old man whose electrocardiogram after cardiopulmonary resuscitation showed up-sloping ST-segment depression at the J point in precordial leads combined with tall symmetrical T waves. This electrocardiographic pattern corresponded to de Winter syndrome and is related to proximal left anterior descending coronary artery occlusion. (Level of Difficulty: Beginner.).

Keywords: ECG, electrocardiographic; LAD, left anterior descending coronary artery; anterior myocardial infarction; de Winter pattern; electrocardiogram.