Young male with chest pain and abnormal T-waves

Submitted: 11 December 2019
Accepted: 28 February 2020
Published: 29 April 2020
Abstract Views: 896
PDF: 355
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Authors

Early recognition of ECG signs of acute coronary syndrome is essential for prompt treatment. But presentation with atypical ECG changes constitute a diagnostic challenge. We here report a case of 23-year-old male who presented with chest pain having atypical ECG changes with hyper-acute T waves called de Winters T wave. This is a rare presentation of patient with acute Left Anterior Descending artery occlusion. Some authors propose that de Winters pattern should be considered as “STEMI Equivalent”.

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Citations

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Goebel M, Bledsoe J, Orford JL, et al. A new ST-segment elevation myocardial infarction equivalent pattern? Prominent T wave and J-point depression in the precordial leads associated with ST-segment elevation in lead aVr. Am J Emerg Med. 2014 Mar 1;32(3):287.e5-287.e8. DOI: https://doi.org/10.1016/j.ajem.2013.09.037
Verouden NJ, Koch KT, Peters RJ, et al. Persistent precordial “hyperacute” T-waves signify proximal left anterior descending artery occlusion. Heart Br Card Soc. 2009 Oct;95(20):1701–6. DOI: https://doi.org/10.1136/hrt.2009.174557

How to Cite

Thazhathidathil, A. V., Agrawal, N., & Mathew, R. (2020). Young male with chest pain and abnormal T-waves. Emergency Care Journal, 16(1). https://doi.org/10.4081/ecj.2020.8751