Thrombolytic therapy in a patient with chest pain with de Winter ECG pattern occurred after ST-segment elevation: A case report.

Abstract:

:The de Winter electrocardiogram (ECG) pattern may signify proximal left anterior descending artery (LAD) occlusion and was suggested to be managed as ST-segment elevation myocardial infarction (STEMI) equivalent for urgent angiography and reperfusion therapy. However, cardiac catheter laboratory is not readily or timely available in every hospital. When timely percutaneous coronary intervention (PCI) is not available, thrombolytic therapy can be considered in patients with ongoing ischemia symptoms. Here, we present a case of a successful thrombolytic therapy with de Winter ECG pattern occurred after ST-segment elevation in a scenario which the catheter laboratory was unavailable.

journal_name

J Electrocardiol

authors

Xu W,Xu L,Peng J,Huang S

doi

10.1016/j.jelectrocard.2019.06.010

subject

Has Abstract

pub_date

2019-01-01 00:00:00

pages

4-6

eissn

0022-0736

issn

1532-8430

pii

S0022-0736(19)30389-9

journal_volume

56

pub_type

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