https://doi.org/10.4081/ecj.2020.8751
Young male with chest pain and abnormal T-waves
Submitted: 11 December 2019
Accepted: 28 February 2020
Published: 29 April 2020
Accepted: 28 February 2020
Abstract Views: 892
PDF: 354
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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”.
Lawner BJ, Nable JV, Mattu A. Novel patterns of ischemia and STEMI equivalents. Cardiol Clin. 2012 Nov;30(4):591–9.
DOI: https://doi.org/10.1016/j.ccl.2012.07.002
De RW, Verouden NJ, Wellens HJ, Wilde AA. A new ECG sign of proximal LAD occlusion. N Engl J Med. 2008 Nov;359(19):2071–3.
DOI: https://doi.org/10.1056/NEJMc0804737
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
PAGEPress has chosen to apply the Creative Commons Attribution NonCommercial 4.0 International License (CC BY-NC 4.0) to all manuscripts to be published.
Similar Articles
- Nicola Parenti, Federica Agrusta, Antonio Luciani, Which clinical scoring system should we use for the evaluation of chest pain in the Emergency Department? A review , Emergency Care Journal: Vol. 12 No. 2 (2016)
You may also start an advanced similarity search for this article.
